Nicole Andrea Bennett
PMHNP-BC | Nurse Practitioner
2 Terminal Dr Ste 8, East Alton
Illinois, 62024-2294
618-259-0365
Nicole Andrea Bennett is a East Alton, Illinois based nurse practitioner who is specialized as Nurse Practitioner nurse. Active license number of Nicole Andrea Bennett is 209030085 for Psych/Mental Health in Illinois. Her current practice location is 2 Terminal Dr Ste 8, East Alton. Patients can reach her at 618-259-0365 or can fax her at 618-259-2495. Nicole Andrea Bennett is PMHNP-BC with specialization in Nurse Practitioner and her NPI number (Unique professional ID assigned by NPPES) is 1679163372.
Nicole Andrea Bennett has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Nicole Andrea Bennett speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Nicole Andrea Bennett |
| Specialization: | Nurse Practitioner Nurse Practitioner (NP) |
| Gender: | Female |
| Credentials: | PMHNP-BC |
| Practice Address: | 2 Terminal Dr Ste 8, East Alton,
Illinois, 62024-2294 |
| Phone: | 618-259-0365 |
| Fax: | 618-259-2495 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1679163372 |
| NPI Enumeration Date: | 26 Jan, 2021 |
| NPI Last Update On: | 07 Aug, 2024 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Nicole Andrea Bennett are as mentioned below.
| License Number | Specialization | State | Status | |
| 209030085 | Psych/Mental Health | Illinois | Primary | |
| 2018036588 | Registered Nurse | Missouri | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Nicole Andrea Bennett such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 041470020 | Other | Illinois | RN |
| 2018036588 | Other | Missouri | RN |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Nicole Andrea Bennett
2 Terminal Dr Ste 8,
East Alton, Illinois |
| Zip: | 62024-2294 |
| Phone Number: | 618-259-0365 |
| Fax Number: | 618-259-2495 |
Patients can reach Nicole Andrea Bennett at
2 Terminal Dr Ste 8, East Alton, Illinois or can
call to book an appointment on 618-259-0365.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.