Provider Demographics
NPI:1942985957
Name:BENJAMIN, BLESSING OSEWONYEMWEN (PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:BLESSING
Middle Name:OSEWONYEMWEN
Last Name:BENJAMIN
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9102 CORELLA LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-1309
Mailing Address - Country:US
Mailing Address - Phone:832-212-0227
Mailing Address - Fax:
Practice Address - Street 1:9102 CORELLA LN
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-1309
Practice Address - Country:US
Practice Address - Phone:832-212-0227
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-19
Last Update Date:2023-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1103829363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health