Nicole Andrea Bennett, PMHNP-BC
NPI #1679163372 in East Alton, Illinois
Provider Information
- NPI Number
- 1679163372
- Entity Type
- Individual
- Name
- Nicole Andrea Bennett, PMHNP-BC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Credential
- PMHNP-BC
- Enumeration Date
- Jan 26, 2021
- Last Updated
- Aug 7, 2024
Practice Location
- Address
- 2 TERMINAL DR STE 8
- City
- East Alton
- State
- Illinois
- ZIP Code
- 62024-2294
- Phone
- (618) 259-0365
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse - Psychiatric/Mental Health — Psychiatric/Mental Health |
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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