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Individual

AUTUMN BENNETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
WHNP-BC, AGPCNP-BC

Contact information

Practice address
1003 FRED LAGRONE DR, CROSSETT, AR 71635-4546
(870) 364-0577
Mailing address
PO BOX H, CROSSETT, AR 71635-1808
(870) 364-0577

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
A004363
AR
363LW0102X
Women's Health Nurse Practitioner
Primary
A004363
AR

Other

Enumeration date
03/02/2015
Last updated
06/17/2025
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