JASON CLARK BENNETT — OIG Excluded Provider (ST AUGUSTINE, FL, 1128b4)
JASON CLARK BENNETT — OIG Excluded Provider (ST AUGUSTINE, FL, 1128b4) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: JASON CLARK BENNETT; Type: Individual; Provider category: NURSING PROFESSION.
| Name | JASON CLARK BENNETT |
|---|---|
| Type | Individual |
| Provider category | NURSING PROFESSION |
| Specialty | NURSE/NURSES AIDE |
| City | ST AUGUSTINE |
| State | FL |
| ZIP | 32084 |
| Exclusion authority | 1128b4 |
| Exclusion reason | License revocation, suspension, or surrender |
| Exclusion date | 2006-07-20 |
| Source | HHS-OIG LEIE |
$1499/mo
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