Individual
MAKENNA K BENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8244 E US HIGHWAY 36 STE 1340, AVON, IN 46123-9688
(317) 520-5510
(317) 386-5539
Mailing address
1100 SOUTHFIELD DR STE 1370, PLAINFIELD, IN 46168-4300
(317) 837-5566
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
71015628A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300095530
—
IN
Enumeration date
09/27/2023
Last updated
09/22/2025
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