Individual provider · Type 1 NPI
Jordan Grace Bennett
Psychiatric/Mental Health Nurse Practitioner · Austin, TX
NPI number
1720994593
Active
Practice location
4005 Banister Ln Ste 200
Austin, TX 78704-0177
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 1246240 (TX) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1720994593
Jordan Grace Bennett's National Provider Identifier is 1720994593, issued on Aug 21, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Austin, TX. The record was last updated on Aug 21, 2026.