Bisona Yeba Bennett, DNP, APRN, FNP-C

Nurse Practitioner · St Augustine, FL

Individual Active NPI

NPI number 1689083750

Practice location

305 Kingsley Lake Dr Ste 703
St Augustine, FL 32092-3045
Phone
(904) 800-4003
Fax
(904) 800-5003

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NPI record

NPI
1689083750
Entity type
Individual (Type 1)
Enumeration date
August 4, 2014
Last updated
September 10, 2025
Certified
September 10, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Nurse Practitioner Primary 363L00000X 11013652 FL

About Dr. Bennett

Bisona Yeba Bennett, DNP, APRN, FNP-C is a healthcare provider registered in the NPI registry with the primary taxonomy Nurse Practitioner (code 363L00000X). The practice location is 305 Kingsley Lake Dr Ste 703, St Augustine, FL 32092-3045. The NPI number 1689083750 was assigned on August 4, 2014 and the record was last updated on September 10, 2025.

Dr. Bennett lists a license in the registry: #11013652 (FL) for Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Bisona Yeba Bennett, DNP, APRN, FNP-C?

The NPI number is 1689083750.

What is the phone number of Dr. Bennett?

The phone number listed for the practice location is (904) 800-4003.

Where is Dr. Bennett located?

305 Kingsley Lake Dr Ste 703, St Augustine, FL 32092-3045.

What is the taxonomy code for Dr. Bennett?

The primary taxonomy code is 363L00000X – Nurse Practitioner.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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