Mary T Benson
Nurse Practitioner in Lakeport, California
1043602147- Practice location
- 987 Parallel Dr Ste C, Lakeport, CA 95453-5708
- Phone
- 707-262-5088
- Fax
- —
- Last updated
- June 17, 2026
Mary Taylor Benson is a Nurse Practitioner based in Lakeport, CA. Mary Taylor Benson practices in Lakeport, CA. The NPI Number for Mary Taylor Benson is 1043602147 and holds a License No. R863948 (MS). The current practice location address for Mary Taylor Benson is 987 Parallel Dr Ste C, Lakeport, CA 95453-5708 and can be reached out via phone at 707-262-5088.
Provider Profile Details
- NPI Number
- 1043602147
- Provider Name
- Mary Taylor Benson
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 987 Parallel Dr Ste C, Lakeport, CA 95453-5708
- Phone Number
- 707-262-5088
- Primary Taxonomy
- Nurse Practitioner · 363L00000X
- Sole Proprietor
- Yes
- Other Names
- Mary Taylor (Former Name)
- Provider Enumeration Date
- February 26, 2015
- Last Update Date
- June 17, 2026
- Certification Date
- June 17, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 987 Parallel Dr Ste C
Lakeport, CA 95453-5708 - City
- Lakeport
- State
- California
- Zip
- 95453-5708
- Phone Number
- 707-262-5088
Provider Business Mailing Address Details
- Address
- 1010 Mint Springs RD
Terry, MS 39170-8778 - City
- Terry
- State
- MS
- Zip
- 39170-8778
License Information
- License Number (1)
- R863948
- License State (1)
- MS
- Taxonomy (1)
- Clinical Nurse Specialist, Family Health · 364SF0001X
- License Number (2)
- APRN.CNP.0041364
- License State (2)
- OH
- Taxonomy (2)
- Nurse Practitioner · 363L00000X · Primary
- License Number (3)
- NP95010828
- License State (3)
- CA
- Taxonomy (3)
- Nurse Practitioner, Family · 363LF0000X
- License Number (4)
- AP60909312
- License State (4)
- WA
- Taxonomy (4)
- Nurse Practitioner, Family · 363LF0000X
- License Number (5)
- 8067
- License State (5)
- CT
- Taxonomy (5)
- Nurse Practitioner, Family · 363LF0000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Nurse Practitioners near Lakeport, CA
View all Nurse Practitioners in Lakeport →Frequently Asked Questions
What is the NPI number of Mary T Benson?
The NPI number of Mary T Benson is 1043602147. It was assigned on February 26, 2015 and is currently active in the NPPES registry.
What is the specialty of Mary T Benson?
Mary T Benson is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in MS under license number R863948.
Where does Mary T Benson practice?
The practice location is 987 Parallel Dr Ste C, Lakeport, CA 95453-5708. The office can be reached at 707-262-5088 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043602147 directly on the NPPES registry website.