Individual provider · Type 1 NPI

Mary Taylor Benson

Nurse Practitioner · Lakeport, CA

NPI number 1043602147 Active

Practice location

987 Parallel Dr Ste C
Lakeport, CA 95453-5708

Mailing address

1010 Mint Springs Rd
Terry, MS 39170-8778

Other practice locations

  • 1251 Lewis River Rd Ste D, Woodland, WA 98674-9203 · (360) 225-4310
  • 8740 Orion Pl Ste 100, Columbus, OH 43240-4063 · (614) 300-5913
  • 85 Lafayette St, New Britain, CT 06051-1803 · (860) 347-6971
  • 300 Nissan Dr, Canton, MS 39046-8562 · (601) 855-8426
  • 5196 Hill Rd E Ste 300, Lakeport, CA 95453-6374 · (916) 263-6885

Specialties and licenses

TaxonomyCodeLicense
Family Health Clinical Nurse Specialist 364SF0001XR863948 (MS)
Nurse Practitioner Primary 363L00000XAPRN.CNP.0041364 (OH)
Family Nurse Practitioner 363LF0000XNP95010828 (CA)
Family Nurse Practitioner 363LF0000XAP60909312 (WA)
Family Nurse Practitioner 363LF0000X8067 (CT)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

4 other providers at this address

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About NPI 1043602147

Mary Taylor Benson's National Provider Identifier is 1043602147, issued on Feb 26, 2015. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Lakeport, CA. The record was last updated on Jun 17, 2026.