Individual
DEVON BENEBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, PMHNP-BC
Contact information
Practice address
301 JUSTICE LN BLDG 2, BUNNELL, FL 32110-4487
(800) 539-4228
Mailing address
150 MAGNOLIA AVE, DAYTONA BEACH, FL 32114-4304
(386) 236-3225
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
APRN11027323
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11027323
FL
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
APRN11027323
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119663000
—
FL
01
—
APRN11027323
FL STATE LICENSE
FL
Enumeration date
07/06/2023
Last updated
08/22/2025
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