Individual
SHANTA BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
6327 COLEMAN RD, OLIVE BRANCH, MS 38654-8790
(662) 306-0652
(662) 306-0652
Mailing address
6327 COLEMAN RD, OLIVE BRANCH, MS 38654-8790
(662) 306-0652
(662) 306-0652
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
907967
MS
Other
Enumeration date
11/17/2025
Last updated
11/17/2025
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