Donna Joanne Bennett, RN
Individual provider Active NPI Registered Nurse · Bascom, FL
NPI 1598139834 · NPPES record last updated Nov 24, 2015
Key facts
- NPI
- 1598139834
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- RN 9388168 (FL)
- Practice address
- 5580 Hummingbird Rd
Bascom, FL 32423-9136 - Phone
- (850) 569-2627
- NPI assigned
- Nov 24, 2015
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN 9388168 | FL | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN 9388168 | FL | Yes |
Addresses
Primary practice location
5580 Hummingbird Rd
Bascom, FL 32423-9136
Mailing address
5580 Hummingbird Rd
Bascom, FL 32423-9136
Phone (850) 569-2627
Other providers in Bascom, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 24, 2015. 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.