Individual provider · NPI-1
Christina L Bennett, RN, ANP, ACNP
Nurse Practitioner · Kingwood, TX
NPI number1104897149
StatusActive
Last updated in NPPESMar 4, 2022
Details
- NPI
- 1104897149
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Christina L Bennett
- Credential
- RN, ANP, ACNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 28, 2006
- Certification date
- Mar 4, 2022
- Last updated
- Mar 4, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | AP111656 | TX | Yes |
| 363LA2200X | Nurse Practitioner, Adult Health | 542986 | TX | |
| 363LA2100X | Nurse Practitioner, Acute Care | 542986 | TX |
Practice location
22999 Highway 59 NKingwood, TX 77339-4412
Phone 281-348-8696
Mailing address
4907 Creek Shadows DrHumble, TX 77339-1241
Phone 713-540-7690
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