Individual provider · Type 1 NPI

Gabrielle Bennett

Nurse Practitioner · San Diego, CA

NPI number 1255294153 Active

Practice location

404 Camino Del Rio S Ste 530
San Diego, CA 92108-3503

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X95037025 (CA)

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 1255294153

Gabrielle Bennett's National Provider Identifier is 1255294153, issued on Dec 8, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in San Diego, CA. The record was last updated on Mar 5, 2026.