Basic Information
Provider Information
NPI: 1255844429
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BENSING
FirstName: APRIL
MiddleName: JEAN
NamePrefix:  
NameSuffix:  
Credential: FNP-C
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: STAMM
OtherFirstName: APRIL
OtherMiddleName: JEAN
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType: 1
Mailing Information
Address1: 4523 W UNIVERSITY ST
Address2:  
City: SPRINGFIELD
State: MO
PostalCode: 658024898
CountryCode: US
TelephoneNumber: 6364484099
FaxNumber:  
Practice Location
Address1: 3045 S NATIONAL AVE STE 110
Address2:  
City: SPRINGFIELD
State: MO
PostalCode: 658044268
CountryCode: US
TelephoneNumber: 4178886790
FaxNumber:  
Other Information
ProviderEnumerationDate: 11/09/2017
LastUpdateDate: 11/17/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000X2017034765MOY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


Home