Organization
SONDRA BENNETT PMHNP-BC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SONDRA M BENNETT PMHNP-BC (OWNER)
(662) 205-6905
Entity
Organization
Contact information
Practice address
144 S THOMAS ST STE 207, TUPELO, MS 38801-5337
(662) 205-6905
(662) 269-6722
Mailing address
144 S THOMAS ST STE 207, TUPELO, MS 38801-5337
(662) 205-6905
(662) 269-6722
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/07/2019
Last updated
08/07/2019
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