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Individual

HECTOR MANUEL BENITEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
FNP

Contact information

Practice address
133 INDIAN LAKE RD STE 204, HENDERSONVILLE, TN 37075-3883
(615) 338-6341
(615) 338-6342
Mailing address
702 NORTHVIEW CIR, LEBANON, TN 37087-9064
(615) 804-7902

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
27202
TN
363LF0000X
Family Nurse Practitioner
0024184676
VA
363LF0000X
Family Nurse Practitioner
Primary
27202
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
27202
TN

Other

Enumeration date
07/21/2020
Last updated
07/21/2025
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