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Contact Information

DESSIRAE M BENNETT, APRN
3333 WRIGHTSVILLE AVE STE M
WILMINGTON, NC28403-4115
 Phone: 910-399-3519
 Fax: 910-769-1739
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Adult Health

363LA2200X 50 Nurse Practitioner
 

Gerontology

363LG0600X 50 Nurse Practitioner
 

Primary Care

363LP2300X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for DESSIRAE M BENNETT · (Female)

NPI Number 1225765118
Status Active
Credentials APRN (Advanced Practice Registered Nurse)
Entity Individual
Enumeration date 08/02/2022
Last updated 08/02/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • NC License # 321110
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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