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Individual
PATRICIA BENNETT
Active
Individual
PATRICIA BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP154476
GA
363L00000X
Nurse Practitioner
RN154476
GA
363LF0000X
Family Nurse Practitioner
25640
SC
363LF0000X
Family Nurse Practitioner
Primary
RN154476
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25640
SC APRN LICENSE
SC
Enumeration date
11/03/2016
Last updated
07/29/2026
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