Individual
LAKIESHA MICHELLE BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
443 DONELSON PIKE STE 200, NASHVILLE, TN 37214-3571
(301) 809-4000
Mailing address
443 DONELSON PIKE STE 200, NASHVILLE, TN 37214-3571
(301) 809-4000
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
26NJ00619200
NJ
363LP2300X
Primary Care Nurse Practitioner
Primary
26NJ00619200
NJ
Other
Enumeration date
03/28/2016
Last updated
03/20/2025
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