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TYRA LASHAY BENNETT NP NPI 1144081571


NPI Information

NPI: 1144081571
Provider Name: TYRA LASHAY BENNETT, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
4191 OLD GA HIGHWAY 3
CAMILLA, GA
ZIP 31730
Phone: (229) 328-4181
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Tyra Lashay Bennett, NP is a family nurse practitioner in Camilla, GA. Tyra Lashay Bennett, NP NPI is 1144081571. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4191 OLD GA HIGHWAY 3
CAMILLA, GA
ZIP 31730-338
Phone: (229) 328-4181

The enumeration date for this NPI number is 1/22/2024 and was last updated on 1/22/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyRN234059GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.