Provider Demographics
NPI:1356059323
Name:BENNETT, APRIL JEAN (LPN)
Entity type:Individual
Prefix:
First Name:APRIL
Middle Name:JEAN
Last Name:BENNETT
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:APRIL
Other - Middle Name:JEAN
Other - Last Name:WEBSTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPN
Mailing Address - Street 1:472 PIKE ST
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:OH
Mailing Address - Zip Code:45750-3328
Mailing Address - Country:US
Mailing Address - Phone:740-236-4452
Mailing Address - Fax:
Practice Address - Street 1:472 PIKE ST
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:OH
Practice Address - Zip Code:45750-3328
Practice Address - Country:US
Practice Address - Phone:740-236-4452
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-09
Last Update Date:2022-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHLPN.167674.MEDS164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse