Individual
CARRIE BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1005 BROADWAY ST, QUINCY, IL 62301-2834
(217) 223-8400
Mailing address
1005 BROADWAY ST, QUINCY, IL 62301-2834
(217) 223-8400
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2025033731
MO
363LF0000X
Family Nurse Practitioner
Primary
209029111
IL
Other
Enumeration date
12/29/2023
Last updated
09/02/2025
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