Individual
MRS. ERIN SULLIVAN BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2100 HIGHWAY 61 NORTH, VICKSBURG, MS 39183-6243
(601) 529-9980
Mailing address
2100 HIGHWAY 61 NORTH, VICKSBURG, MS 39183-6243
(601) 529-9980
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R872684
MS
363LF0000X
Family Nurse Practitioner
Primary
R872684
MS
Other
Enumeration date
04/24/2010
Last updated
09/10/2020
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