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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. WALTER CHARLES BENNETT JR.

Active

DR. WALTER CHARLES BENNETT JR. is a Family Nurse Practitioner healthcare provider located in FAYETTEVILLE, Tennessee. NPI 1164569703 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · FAYETTEVILLE, TN

Registration Details

NPI Number
1164569703
Provider Type
Individual
Gender
Male
NPI Issued
Jan 31, 2007 (19.354022031585 yrs)
Last Updated
Sep 26, 2024
Licenses
355160 (NY)
16762 (TN)
2025 (AL)

Practice Information

Address
2310 THORNTON TAYLOR PKWY STE C
FAYETTEVILLE, TN, 373343668
Browse TN providers · Browse ZIP 37334
Phone
9312513009
Primary Specialty
Family Nurse Practitioner
363LF0000X
Additional Specialty
Family Nurse Practitioner
Additional Specialty
Chiropractor

Other Family Nurse Practitioner Providers in FAYETTEVILLE, TN

Name Credential NPI
KARA L HALL APN 1174747604
NATALIE BATCHELOR CRNP 1952564759
MS. SANDRA KILBURN DANIEL ACNP-BC 1992947568
AMANDA BRADLEY FNP 1851534606
DEANNA B WOMBLE N.P.-C 1720211469
GAIL L SHUTT FNP 1760717953
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.