Individual
MILLICENT CAROLINE BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5421 MAIN ST, SPRING HILL, TN 37174-4410
(931) 486-2500
Mailing address
5421 MAIN ST, SPRING HILL, TN 37174-4410
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
235764
TN
363L00000X
Nurse Practitioner
Primary
33475
TN
Other
Enumeration date
02/14/2023
Last updated
08/05/2024
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