MEDICARE: HOLLY E BENNETT APRN, FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	116005	OK
2	363L00000X	Nurse Practitioner	0024168706	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1972826659
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HOLLY E BENNETT APRN, FNP-C

Provider Business Mailing Address
First Line	:	5635 N MLK JR BLVD STE 270
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74126-6409
Country	:	US
Telephone Number	:	918-398-9460
Fax Number	:	918-392-7013

Provider Business Practice Location Address
First Line	:	5635 N MLK JR BLVD
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74126-6409
Country	:	US
Telephone Number	:	918-398-9460
Fax Number	:	918-992-2822

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/09/2010
Last Update Date	:	09/03/2025

Similar Medicare Providers

1265575609 — STACY LACKEY M.S.
Practice Location Address:

5635 N MARTIN LUTHER KING JR BLVD
TULSA, OK
74126-6409

Practice Phone: 918-594-4731
Practice Fax: 918-595-4269

1013571256 — GLENNA WONG JOHNSON MD
Practice Location Address:

5635 N MLK JR BLVD
TULSA, OK
74126-6409

Practice Phone: 918-398-9460
Practice Fax:

1942958111 — CROSSOVER HEALTH SERVICES INC
Practice Location Address:

5635 N MARTIN LUTHER KING JR BLVD
TULSA, OK
74126-6409

Practice Phone: 918-398-9460
Practice Fax: 918-992-2822

1619693819 — VIOLETA BIRK
Practice Location Address:

5635 N MARTIN LUTHER KING JR BLVD
TULSA, OK
74126-6409

Practice Phone: 918-595-4368
Practice Fax:

1134091143 — CROSSOVER HEALTH SERVICES INC
Practice Location Address:

5635 N MLK JR BLVD
TULSA, OK
74126-6409

Practice Phone: 918-398-9460
Practice Fax:

1023969672 — YOLANDA RENEE PLATT
Practice Location Address:

5708 N GARRISON PL
TULSA, OK
74126-2206

Practice Phone: 918-961-2810
Practice Fax:

Directions to “ HOLLY E BENNETT APRN, FNP-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.