FRED BENJAMIN IV, CRNA
Registered Nurse
Active
Individual
NPI: 1063404036
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Registered Nurse | 163W00000X | Yes | RN0000085124 (TN) |
Frequently Asked Questions
NPI 1063404036 is the National Provider Identifier for FRED BENJAMIN IV, CRNA, a Registered Nurse provider located in Jackson, TN. This NPI was enumerated on August 16, 2005.
FRED BENJAMIN IV, CRNA practices at 36 BRENTSHIRE SQ, Jackson, TN 38305.
Quick Facts
- NPI
- 1063404036
- Type
- Individual
- Enumerated
- Aug 16, 2005
- Last Updated
- Jul 8, 2007
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