Individual
THOMAS TYLER BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP FNP-C
Contact information
Practice address
1265 UNION AVE, MEMPHIS, TN 38104-3415
(901) 516-2362
(901) 516-8254
Mailing address
PO BOX 1000, DEPT 351, MEMPHIS, TN 38148-0001
(901) 758-9900
(901) 752-2335
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
34341
TN
363LF0000X
Family Nurse Practitioner
34341
TN
Other
Enumeration date
07/25/2023
Last updated
09/21/2023
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