Provider Demographics
NPI:1083121669
Name:BENOIT, MEGAN ASHLEEN (APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:ASHLEEN
Last Name:BENOIT
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13696 N US HIGHWAY 441
Mailing Address - Street 2:
Mailing Address - City:LADY LAKE
Mailing Address - State:FL
Mailing Address - Zip Code:32159-6814
Mailing Address - Country:US
Mailing Address - Phone:352-775-1221
Mailing Address - Fax:
Practice Address - Street 1:13696 N US HIGHWAY 441
Practice Address - Street 2:
Practice Address - City:LADY LAKE
Practice Address - State:FL
Practice Address - Zip Code:32159-6814
Practice Address - Country:US
Practice Address - Phone:352-775-1221
Practice Address - Fax:352-915-9028
Is Sole Proprietor?:No
Enumeration Date:2018-01-04
Last Update Date:2024-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9360971363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner