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Lakisha Nashun Bennings, APRN
Pediatric Nurse Practitioner in Tyler, Texas
NPI 1609526771

Lakisha Nashun Bennings is a Pediatric Nurse Practitioner based in Tyler, TX and is specialized in Pediatrics. Lakisha Nashun Bennings practices in Tyler, TX and has the professional credentials of APRN. The NPI Number for Lakisha Nashun Bennings is 1609526771 and holds a License No. 1062351 (Texas).

The current practice location address for Lakisha Nashun Bennings is 2990 N Broadway Ave, Tyler, TX and can be reached out via phone at 903-535-9041.

Location: 2990 N Broadway Ave, Tyler, TX, 75702-8204
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609526771
Provider Name
Lakisha Nashun Bennings
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
2990 N Broadway Ave, Tyler, TX, 75702-8204
Phone Number
903-535-9041
Fax Number
Provider Enumeration Date
03/24/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2990 N Broadway Ave
City
Tyler
State
Texas
Zip
75702-2149
Phone Number
903-535-9041
Fax Number
person
Provider Business Mailing Address Details
Address
2990 N Broadway Ave
City
Tyler
State
Texas
Zip
75702-2149
Phone Number
903-535-9041
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
1062351 (Texas)
Definition
Definition to come...
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