Individual
MS. ELLEN MARY BENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN, BC
Contact information
Practice address
762 WEYBOURNE CT, MARIETTA, GA 30066-4804
(404) 242-1962
Mailing address
762 WEYBOURNE CT, MARIETTA, GA 30066-4804
(404) 242-1962
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
RN110079
GA
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
RN110079
GA
Other
Enumeration date
06/25/2008
Last updated
12/01/2016
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