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Dezhanae Nicole Bennett

Community Health Worker in Grand Blanc, MI. Individual provider (NPI-1).

NPI number1659219699
StatusActive
Last updated in NPPESMar 23, 2026

Details

NPI
1659219699
Entity type
Individual (NPI-1)
Name
Dezhanae Nicole Bennett
Sex
Female
Sole proprietor
No
Enumeration date
Mar 23, 2026
Certification date
Mar 23, 2026
Last updated
Mar 23, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health Worker––Yes

Practice location

6624 Rustic Ridge Trl
Grand Blanc, MI 48439-4955

Phone 833-478-9464 · Fax 810-462-1093

Mailing address

6624 Rustic Ridge Trl
Grand Blanc, MI 48439-4955

Phone 833-478-9464 · Fax 810-462-1093

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