Gynder Diane Benson, FNP | |
201 N 11th St, Nashville, AR 71852-4306 | |
(870) 557-7824 | |
Not Available |
Full Name | Gynder Diane Benson |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 201 N 11th St, Nashville, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932434701 | NPI | - | NPPES |
0357475 | Other | ANCC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | A01641 (Arkansas) | Primary |
363LF0000X | Nurse Practitioner - Family | 9050 (Texas) | Secondary |
Entity Name | Arkansas Psychiatric Clinic Clinical Research Trials, Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548661200 PECOS PAC ID: 0345566238 Enrollment ID: O20150312001445 |
Mailing Address | Practice Location Address |
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Gynder Diane Benson, FNP 201 N 11th St, Nashville, AR 71852-4306 Ph: (870) 557-7824 | Gynder Diane Benson, FNP 201 N 11th St, Nashville, AR 71852-4306 Ph: (870) 557-7824 |
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