Healthcare Provider Details

I. General information

NPI: 1255844429
Provider Name (Legal Business Name): APRIL JEAN BENSING FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: APRIL JEAN STAMM

II. Dates (important events)

Enumeration Date: 11/09/2017
Last Update Date: 11/17/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3045 S NATIONAL AVE STE 110
SPRINGFIELD MO
65804-4268
US

IV. Provider business mailing address

4523 W UNIVERSITY ST
SPRINGFIELD MO
65802-4898
US

V. Phone/Fax

Practice location:
  • Phone: 417-888-6790
  • Fax:
Mailing address:
  • Phone: 636-448-4099
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2017034765
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: