Individual
NYISHA BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
60 GENTLE SPRING LN, COVINGTON, GA 30016-2313
(470) 406-0404
Mailing address
60 GENTLE SPRING LN, COVINGTON, GA 30016-2313
(470) 406-0404
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN226558
GA
Other
Enumeration date
07/12/2022
Last updated
07/12/2022
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