Individual
SONDRA MICHELLE BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
2434 S EASON BLVD, TUPELO, MS 38804-6942
(662) 844-1717
(662) 680-6416
Mailing address
144 S THOMAS ST STE 207, TUPELO, MS 38801-5337
(662) 205-6905
(662) 269-6722
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
859958
MS
Other
Enumeration date
05/23/2013
Last updated
08/07/2019
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