Tammy Rene Bennett in Shreveport - Nurse Practitioner
Tammy Rene Bennett - NPI 1942220959
Tammy Rene Bennett is a Nurse Practitioner in Shreveport, Louisiana. Tammy Rene Bennett practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Tammy Rene Bennett is 1942220959. The last update date is 2016-07-01.
Tammy Rene Bennett's current location address is 1525 Fairfield Ave Ste 569, Shreveport, Louisiana. You can contact this provider via phone number 3186767483 and fax number 3186767560. The mailing address for Tammy Rene Bennett is 1525 Fairfield Ave Ste 569, Shreveport, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tammy Rene Bennett |
|---|---|
| Address | 1525 Fairfield Ave Ste 569, Shreveport, Louisiana |
| Phone Number | 3186767483 |
| Fax Number | 3186767560 |
| Sole Proprietor | N |
| Credentials | N.P. |
NPI Number Detail
| NPI Number | 1942220959 |
|---|---|
| Provider Enumeration Date | 2006-07-20 |
| Last Updated Date | 2016-07-01 |
Provider Mailing Address Detail
| Address | 1525 Fairfield Ave Ste 569 |
|---|---|
| City | Shreveport |
| State | Louisiana (LA) |
| Post Code | 711014331 |
| Phone Number | 3186767483 |
| Fax Number | 3186767560 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | RN072119 |
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Definition: (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 certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1435074 | LA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Tammy Rene Bennett by the Centers for Medicare & Medicaid Services?
The Tammy Rene Bennett has been assigned the NPI (National Provider Identifier) 1942220959. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Tammy Rene Bennett?
The Tammy Rene Bennett is situated at 1525 Fairfield Ave Ste 569, in the city of Shreveport, state of LA, with the zip code 711014331.
What is the Tammy Rene Bennett's specialty and taxonomy code?
The Tammy Rene Bennett's specialty is Nurse Practitioner, and the corresponding taxonomy code is 363L00000X.
On what date was the 1942220959 assigned to Tammy Rene Bennett?
The Tammy Rene Bennett was issued its 1942220959 on 2006-07-20, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Tammy Rene Bennett most recently updated or refreshed?
The details pertaining to the Tammy Rene Bennett, including its address, specialty, and other relevant information, were last updated or refreshed on 2016-07-01.
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