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Nikki Lee Benedict, SRNA
Student in an Organized Health Care Education/Training Program in Herrin, Illinois
NPI 1922783778

Nikki Lee Benedict is a Student in an Organized Health Care Education/Training Program based in Herrin, IL. Nikki Lee Benedict practices in Herrin, IL and has the professional credentials of SRNA. The NPI Number for Nikki Lee Benedict is 1922783778 and holds a License No. (Illinois).

The current practice location address for Nikki Lee Benedict is 301 Bogie Dr, Herrin, IL and can be reached out via phone at 352-277-6625.

Location: 301 Bogie Dr, Herrin, IL, 62948-3741
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922783778
Provider Name
Nikki Lee Benedict
Credential
SRNA
Provider Entity Type
Individual
Gender
Male
Address
301 Bogie Dr, Herrin, IL, 62948-3741
Phone Number
352-277-6625
Fax Number
Provider Enumeration Date
06/20/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
301 Bogie Dr
City
Herrin
State
Illinois
Zip
62948-3741
Phone Number
352-277-6625
Fax Number
person
Provider Business Mailing Address Details
Address
301 Bogie Dr
City
Herrin
State
Illinois
Zip
62948-3741
Phone Number
352-277-6625
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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