Individual provider · Type 1 NPI

Chevelle Antionette Bennett, NURSE (LPN)

Licensed Practical Nurse · Moraine, OH

NPI number 1013406040 Active

Practice location

4964 Springboro Pike
Moraine, OH 45439-1940

Call (937) 856-9576 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XPN.160731.M-IV (OH)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1013406040

Chevelle Antionette Bennett, NURSE (LPN)'s National Provider Identifier is 1013406040, issued on May 4, 2018. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Moraine, OH. The record was last updated on Apr 7, 2026.