Most Relevant Information
Provider Data
| NPI Number: | 1003581109 |
| Provider Name: | JAKYRA BENTLEY LPN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | LPN095682 |
Most Important Dates
| Enumeration Date: | 08/11/2021 |
| Last Updated: | 08/11/2021 |
Provider Practice Location
207 AUTUMN WOODS DR
WARNER ROBINS
GA
310886716
Practice Location Phone/Fax
| Phone: | 4044541901 |
| Fax: |
Provider Mailing Location
207 AUTUMN WOODS DR
WARNER ROBINS
GA
310886716
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |