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Individual

GYNDER DIANE BENSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
201 N 11TH ST, NASHVILLE, AR 71852-4306
(870) 557-7824
Mailing address
201 N 11TH ST, NASHVILLE, AR 71852-4306
(870) 557-7824

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
9050
TX
363LF0000X
Family Nurse Practitioner
Primary
A01641
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0357475
ANCC
Enumeration date
10/12/2009
Last updated
03/24/2015
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