Individual provider · Type 1 NPI
Tashina Bennett
Nurse Practitioner · St. Louis, MO
Practice location
4066 Dunnica Ave
St. Louis, MO 63116-3510
Mailing address
118 N 2nd St Ste 200
St. Charles, MO 63301-2894
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | B53080186695 (IL) |
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…
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About NPI 1124662655
Tashina Bennett's National Provider Identifier is 1124662655, issued on Oct 28, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in St. Louis, MO. The record was last updated on Sep 18, 2024.