Individual
HOLLY E BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
5635 N MLK JR BLVD, TULSA, OK 74126-6409
(918) 398-9460
(918) 992-2822
Mailing address
5635 N MLK JR BLVD STE 270, TULSA, OK 74126-6409
(918) 398-9460
(918) 392-7013
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0024168706
VA
363LF0000X
Family Nurse Practitioner
Primary
116005
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200583130A
—
OK
Enumeration date
03/09/2010
Last updated
09/03/2025
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