Individual
AMY M BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1002 SCHNEIDER DR STE 104, MALVERN, AR 72104-4823
(501) 332-7981
(501) 337-9964
Mailing address
506 LITTLE CREEK CUT OFF RD, SHERIDAN, AR 72150-7798
(501) 332-7981
(501) 337-9964
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
ATP000330
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
185941758
—
AR
Enumeration date
02/01/2011
Last updated
03/28/2016
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