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

Miss. Micah Raven Bennett, FNP

Individual provider Family Nurse Practitioner · NPI 1275211823

Miss. Micah Raven Bennett, FNP is a Family Nurse Practitioner in Myrtle Beach, South Carolina. Licensed in South Carolina. Registered with an NPI since 2023.

Licensed in
SC
In the registry since
2023
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

2200 Crow Ln
Myrtle Beach, SC 29577-1663
Phone: (843) 848-5300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 27540 (SC)

Record details

NPI number1275211823
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedJuly 5, 2023
Last updated in NPPESJuly 10, 2023
Certification dateJuly 10, 2023

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