JACKLYN BROOKE BENNETT CRNP
NPI 1770325672
Nurse Practitioner - Family in Ellwood City, PA

Q: What is Jacklyn Bennett's NPI number?

The NPI number for Jacklyn Bennett is 1770325672. It was assigned to this individual provider in the NPPES registry on June 11, 2024.

Q: What is Jacklyn Bennett's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Jacklyn Bennett was last updated on June 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 11, 2024

1035 CONSTITUTION AVE, ELLWOOD CITY, PA 16117(724) 714-8439 Get Directions Write a Review

NPPES record last updated: June 11, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Jacklyn Brooke Bennett Crnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKLYN BROOKE BENNETT CRNP (NPI 1770325672) is an individual family provider in Ellwood City, Pennsylvania, licensed in Pennsylvania (SP029854) and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1770325672

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJACKLYN BROOKE BENNETTCredential: CRNP

Location Address1035 CONSTITUTION AVEEllwood City, PA 16117-3234

Mailing Address1035 Constitution AveEllwood City, PA 16117-3234 · (724) 714-8439

Phone(724) 714-8439

Sole ProprietorNo

Enumeration DateJune 11, 2024

NPPES CertifiedJune 11, 2024

✔ NPI 1770325672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in PA · SP029854

1035 CONSTITUTION AVE, Ellwood City, PA 16117

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacklyn Bennett's NPI number?

The NPI number for Jacklyn Bennett is 1770325672. It was assigned to this individual provider in the NPPES registry on June 11, 2024.

Where is Jacklyn Bennett located?

Jacklyn Bennett practices at 1035 Constitution Ave, Ellwood City, PA 16117. The listed phone number is (724) 714-8439.

What is Jacklyn Bennett's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Jacklyn Bennett was last updated on June 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.