BENJAMIN PATRICK PMHNP
NPI 1235911603
Nurse Practitioner - Psychiatric/Mental Health in Eglin Afb, FL
Active since October 19, 2023
About Benjamin Patrick Pmhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BENJAMIN PATRICK PMHNP (NPI 1235911603) is an individual psychiatric/mental health provider in Eglin Afb, Florida, licensed in Florida (11029292) and active in the NPI registry since October 2023.
NPPES Registry Identity
NPI1235911603
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameBENJAMIN PATRICKCredential: PMHNP
Location Address307 BOATNER RDEglin Afb, FL 32542-1302
Mailing Address307 Boatner RdEglin Afb, FL 32542-1302 · (575) 551-8312
Phone(850) 833-9433
Sole ProprietorNo
Enumeration DateOctober 19, 2023
Last NPPES UpdateNovember 2, 20232 updates tracked since enumeration
NPPES CertifiedNovember 2, 2023
✔ NPI 1235911603 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in FL · 11029292
307 BOATNER RD, Eglin Afb, FL 32542
Other Providers at the Same Location NPPES 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Physical Therapist (Orthopedic)
307 BOATNER RD, SUITE 114
EGLIN AFB, FL 32542
EGLIN AFB, FL 32542
Nurse Practitioner (Pediatrics)
307 BOATNER RD, SUITE 114
EGLIN AFB, FL 32542
EGLIN AFB, FL 32542
Internal Medicine (Gastroenterology)
307 BOATNER RD, SUITE 114 SGOMI
EGLIN AFB, FL 32542
EGLIN AFB, FL 32542
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1235911603, enumerated as an "individual" on October 19, 2023.
The provider is located at 307 BOATNER RD EGLIN AFB, FL 32542 and the phone number is (850) 833-9433.
Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.
