Individual
VALERIE BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
PO 7802 FARM ROAD 2070, PURDY, MO 65734
(000) 000-0000
Mailing address
PO 7802 FARM ROAD 2070, PURDY, MO 65734
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2015006784
MO
Other
Enumeration date
03/04/2015
Last updated
06/17/2026
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