Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICOLE ANDREA BENNETT, PMHNP-BC
ActiveNICOLE ANDREA BENNETT, PMHNP-BC is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in EAST ALTON, Illinois. NPI 1679163372 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · EAST ALTON, IL
Registration Details
- NPI Number
- 1679163372
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 26, 2021 (5.508730820562 yrs)
- Last Updated
- Aug 7, 2024
- Licenses
-
2018036588 (MO)209030085 (IL)
Practice Information
- Address
-
2 TERMINAL DR STE 8EAST ALTON, IL, 620242294Browse IL providers · Browse ZIP 62024
- Phone
- 6182590365
- Fax
- 6182592495
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
- Additional Specialty
- Psychiatric/Mental Health Nurse Practitioner
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.