Individual
DR. BISONA YEBA BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, FNP-C
Contact information
Practice address
305 KINGSLEY LAKE DR STE 703, ST AUGUSTINE, FL 32092-3045
(904) 800-4003
(904) 800-5003
Mailing address
305 KINGSLEY LAKE DR STE 703, ST AUGUSTINE, FL 32092-3045
(904) 800-4003
(904) 800-5003
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11013652
FL
Other
Enumeration date
08/04/2014
Last updated
09/10/2025
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