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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

FRED A BENJAMIN IV, CRNA

Active

FRED A BENJAMIN IV, CRNA is a Registered Nurse healthcare provider located in JACKSON, Tennessee. NPI 1063404036 is currently active in the NPPES registry. Verify at CMS.

Registered Nurse · JACKSON, TN

Registration Details

NPI Number
1063404036
Provider Type
Individual
Gender
Male
NPI Issued
Aug 16, 2005 (20.952768420044 yrs)
Last Updated
Jul 8, 2007
License
RN0000085124 (TN)

Practice Information

Address
36 BRENTSHIRE SQ
JACKSON, TN, 383052245
Browse TN providers · Browse ZIP 38305
Phone
7316641717
Fax
7316647114
Primary Specialty
Registered Nurse
163W00000X

Other Registered Nurse Providers in JACKSON, TN

Name Credential NPI
JOHN W TURNER CRNA 1407848344
KATHY A RICHARDSON RN 1295844165
JUDY B HOLLIS RN 1215046164
CHRISTINA ANN KREWER R.N. 1013094648
MRS. LAURA L CRISWELL RN 1932266426
PATRICIA PAGE HARDEN RN 1033252457
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.