Bennett, Courtney Anita

Bennett, Courtney Anita is an individual health care provider with primary practice located at 1455 N Lakeland Dr , Meridian MS 39307-9020. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Bennett, Courtney Anita can be contacted via phone (601) 581-7559.

Contact Information

Primary practice address
1455 N Lakeland Dr Meridian MS 39307-9020
Phone: (601) 581-7559
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X R878447 Mississippi

Profile Details

NPI number 1336486422
LBN Legal business name Bennett, Courtney Anita
Credentials APMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2013
Last updated Oct 15th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336486422 NPPES
Mississippi MEDICAID 02700224

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