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Lisa Renee Bennett, FNP,BC
Family Nurse Practitioner in Salem, Oregon
NPI 1023437886

Lisa Renee Bennett is a Family Nurse Practitioner based in Salem, OR and is specialized in Family. Lisa Renee Bennett practices in Salem, OR and has the professional credentials of FNP,BC. The NPI Number for Lisa Renee Bennett is 1023437886 and holds a License No. 201607001NP-PP (Oregon).

The current practice location address for Lisa Renee Bennett is 1095 Liberty St Ne, Salem, OR and can be reached out via phone at 503-581-6550 and via fax at 503-581-4755.

Location: 1095 Liberty St Ne, Salem, OR, 97301-1137
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023437886
Provider Name
Lisa Renee Bennett
Credential
FNP,BC
Provider Entity Type
Individual
Gender
Female
Address
1095 Liberty St Ne, Salem, OR, 97301-1137
Phone Number
503-581-6550
Fax Number
503-581-4755
Provider Enumeration Date
04/09/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1095 Liberty St Ne
City
Salem
State
Oregon
Zip
97301-1137
Phone Number
503-581-6550
Fax Number
503-581-4755
person
Provider Business Mailing Address Details
Address
1095 Liberty St Ne
City
Salem
State
Oregon
Zip
97301-1137
Phone Number
503-581-6550
Fax Number
503-581-4755
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
201607001NP-PP (Oregon)
Definition
Definition to come...
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