Joan Irene Person Bennett, DNP, FNP-BC,CRNP-F
Individual provider Active NPI Nurse Practitioner · Middle River, MD
NPI 1295068591 · NPPES record last updated Nov 16, 2021
Key facts
- NPI
- 1295068591
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- R152891 (MD)
- Practice address
- 103 Chesapeake Park PLZ
Middle River, MD 21220-4201 - Phone
- (410) 682-1595
- Fax
- (410) 682-2538
- NPI assigned
- Sep 17, 2009
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R152891 | MD | Yes |
Addresses
Primary practice location
103 Chesapeake Park PLZ
Middle River, MD 21220-4201
Mailing address
103 Chesapeake Park PLZ
Middle River, MD 21220-4201
Phone (410) 682-1595
Other providers in Middle River, MD
- Baltimore County Department of Health
- Baltimore County Department of Health
- Baltimore County Department of Health
- Baltimore County Maryland
- Ashley Allison Barnett
- Amanda Joy Berger
- Beulahco Home Care Services
- Bibi Adult Primary Care, Limited Liability Company
- Steven Robert Bode
- Dominique Bonds
All providers in Middle River, MD · Nurse Practitioner in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 16, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.