Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ebonique T Bennett, NP

Individual provider Adult Health Nurse Practitioner · NPI 1972871523

Ebonique T Bennett, NP is a Nurse Practitioner in Waldorf, Maryland. Qualified in 2011, 15 years ago. Practices with Medstar Medical Group - Southern Maryland LLC, a 237-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
15
Licensed in
NY
In the registry since
2011
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

10 Saint Patricks Dr
Waldorf, MD 20603-4527
Phone: (301) 373-7900
Fax: (301) 373-6900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 305905 (NY)

Record details

NPI number1972871523
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedDecember 11, 2011
Last updated in NPPESDecember 9, 2021
Certification dateDecember 9, 2021
Mailing address10 Saint Patricks Dr, Waldorf, MD 20603-4527

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Medstar Medical Group - Southern Maryland Llc — 237 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Waldorf