Individual
RYGINNA D BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
300 S WASHINGTON AVE, GREENVILLE, MS 38701-4719
(662) 378-2020
(662) 725-2505
Mailing address
10443 LONG BRIDGE RD S, OLIVE BRANCH, MS 38654-4521
(662) 822-3504
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
903567
MS
Other
Enumeration date
09/30/2019
Last updated
09/30/2019
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