Jackie L Benson in Vicksburg - Nurse Anesthetist, Certified Registered
Jackie L Benson - NPI 1366522997
Jackie L Benson is a Nurse Anesthetist, Certified Registered in Vicksburg, Mississippi. Jackie L Benson practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Jackie L Benson is 1366522997. The last update date is 2007-07-08.
Jackie L Benson's current location address is 2100 Highway 61 N, Vicksburg, Mississippi. You can contact this provider via phone number 6018835000. The mailing address for Jackie L Benson is 2100 Highway 61 N, Vicksburg, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jackie L Benson |
|---|---|
| Address | 2100 Highway 61 N, Vicksburg, Mississippi |
| Phone Number | 6018835000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | CRNA |
NPI Number Detail
| NPI Number | 1366522997 |
|---|---|
| Provider Enumeration Date | 2006-10-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2100 Highway 61 N |
|---|---|
| City | Vicksburg |
| State | Mississippi (MS) |
| Post Code | 391838211 |
| Phone Number | 6018835000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Anesthetist, Certified Registered |
|---|---|
| Taxonomy | 367500000X |
| Licence No | R124440 |
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Definition: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 114410 | MS | -- |
Post Comment/ Review Below
What is the Jackie L Benson's unique identification number?
The Jackie L Benson has been assigned the NPI (National Provider Identifier) Number 1366522997 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Jackie L Benson is physically located?
The Jackie L Benson is physically situated at the following address: 2100 Highway 61 N, Vicksburg, MS, 391838211.
What is Jackie L Benson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jackie L Benson is Nurse Anesthetist, Certified Registered, and the corresponding taxonomy classification code for this specialized field is 367500000X.
On what date did the Jackie L Benson receive its 1366522997 assignment from the Centers for Medicare & Medicaid Services?
The Jackie L Benson was assigned its 1366522997 by the Centers for Medicare & Medicaid Services on 2006-10-17.
As of what date were the details pertaining to Jackie L Benson last refreshed?
The information related to the Jackie L Benson, including its address, specialty, and other relevant details, was last updated on 2007-07-08.