Individual provider · Type 1 NPI

Tanisha Benton

Licensed Practical Nurse · Lake Charles, LA

NPI number 1104775048 Active

Practice location

5391 Weaver Rd
Lake Charles, LA 70605-5245

Call (337) 564-9009 Map

Fax (337) 270-5603

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X20172411 (LA)

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 1104775048

Tanisha Benton's National Provider Identifier is 1104775048, issued on Jan 23, 2026. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Lake Charles, LA. The record was last updated on Jan 23, 2026.