KOURTNEY BENSON FNP-C NPI 1265131031

NPI Information

  • NPI: 1265131031
  • Provider Name: KOURTNEY BENSON, FNP-C
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 102 TRIM MASTERS DRIVE
    LAWRENCEVILLE, IL
    ZIP 62439
  • Phone: (618) 943-7900

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NPI Details

Kourtney Benson, FNP-C is a family nurse practitioner in Lawrenceville, IL with 4 years of experience. Kourtney Benson, FNP-C NPI is 1265131031. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

102 TRIM MASTERS DRIVE
LAWRENCEVILLE, IL
ZIP 62439
Phone: (618) 943-7900
Fax: (618) 943-7901

The NPI 1265131031 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/1/2023 and was last updated on 5/4/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily71013626AINDIANANo
2363LF0000XNurse PractitionerFamily209.027097ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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