Provider Demographics
NPI:1770796971
Name:BENANTE-HAWKINS, JENNIFER A (MS, PA-C)
Entity type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:A
Last Name:BENANTE-HAWKINS
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Gender:F
Credentials:MS, PA-C
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Mailing Address - Street 1:108 WYGATE DR
Mailing Address - Street 2:
Mailing Address - City:EGG HARBOR TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:08234-5719
Mailing Address - Country:US
Mailing Address - Phone:609-645-5045
Mailing Address - Fax:
Practice Address - Street 1:223 N MAIN ST STE 101
Practice Address - Street 2:
Practice Address - City:CAPE MAY CH
Practice Address - State:NJ
Practice Address - Zip Code:08210-2182
Practice Address - Country:US
Practice Address - Phone:609-465-7557
Practice Address - Fax:609-465-9383
Is Sole Proprietor?:No
Enumeration Date:2007-05-07
Last Update Date:2020-02-21
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Provider Licenses
StateLicense IDTaxonomies
NJ25MP00136900363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant