Individual
KOURTNEY BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
102 TRIM MASTERS DRIVE, LAWRENCEVILLE, IL 62439
(618) 943-7900
(618) 943-7901
Mailing address
15930 ARIZONA RD, LAWRENCEVILLE, IL 62439-4700
(618) 928-4531
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.027097
IL
363LF0000X
Family Nurse Practitioner
71013626A
IN
Other
Enumeration date
03/01/2023
Last updated
05/04/2023
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