Individual provider · Type 1 NPI
Walter Charles Bennett Jr.
Family Nurse Practitioner · Fayetteville, TN
NPI number
1164569703
Active
Practice location
2310 Thornton Taylor Pkwy Ste C
Fayetteville, TN 37334-3668
Mailing address
2310C Thornton Taylor Pkwy Ste 102
Fayetteville, TN 37334-3630
Other practice locations
- 125 Jerusalem Ave Apt A, Hicksville, NY 11801-4958 · (516) 935-3555
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 355160 (NY) |
| Family Nurse Practitioner Primary | 363LF0000X | 16762 (TN) |
| Chiropractor | 111N00000X | 2025 (AL) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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- Augusta Nell Pierce, FNP-BCFamily Nurse Practitioner Fayetteville, TN NPI 1235996000
- Julie L. Styles, CRNPFamily Nurse Practitioner Fayetteville, TN NPI 1295429843
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- Theresa M. McGuire, NP-CFamily Nurse Practitioner Fayetteville, TN NPI 1356647390
About NPI 1164569703
Walter Charles Bennett Jr.'s National Provider Identifier is 1164569703, issued on Jan 31, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fayetteville, TN. The record was last updated on Sep 26, 2024.