Individual
MS. MARY MEADOWS BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N., N.P.
Contact information
Practice address
7777 HENNESSY BLVD, SUITE 1000, BATON ROUGE, LA 70808-4300
(225) 767-3900
(225) 214-9109
Mailing address
7777 HENNESSY BLVD, SUITE 1000, BATON ROUGE, LA 70808-4300
(225) 767-3900
(225) 214-9109
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP05163
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP
AP05163
LA
01
—
RN
RN036633
LA
Enumeration date
04/18/2007
Last updated
06/16/2022
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