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

Tashina Bennett

Individual provider Nurse Practitioner · NPI 1124662655

Tashina Bennett is a Nurse Practitioner in Saint Louis, Missouri. Licensed in Illinois. Registered with an NPI since 2019.

Licensed in
IL
In the registry since
2019

Practice location Address checks out

4066 Dunnica Ave
Saint Louis, MO 63116-3510
Phone: (636) 224-1700
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence B53080186695 (IL)

Record details

NPI number1124662655
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 28, 2019
Last updated in NPPESSeptember 18, 2024
Certification dateSeptember 18, 2024
Mailing address118 N 2nd St Ste 200, Saint Charles, MO 63301-2894

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