Active NPIIndividual provider

Jennifer B Benson, PA-C

Physician Assistant, Medical in Longview, Texas

NPI Number1003213059
Practice location
709 Hollybrook Dr Ste 4500, Longview, TX 75605-2412
Fax
903-291-6286
Last updated
February 25, 2025

Jennifer Blair Garrett Benson is a Physician Assistant, Medical based in Longview, TX. Jennifer Blair Garrett Benson practices in Longview, TX and has the professional credentials of PA-C. The NPI Number for Jennifer Blair Garrett Benson is 1003213059 and holds a License No. 52761 (CA). The current practice location address for Jennifer Blair Garrett Benson is 709 Hollybrook Dr Ste 4500, Longview, TX 75605-2412 and can be reached out via phone at 903-291-6287 and via fax at 903-291-6286.

Provider Profile Details

NPI Number
1003213059
Provider Name
Jennifer Blair Garrett Benson
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
709 Hollybrook Dr Ste 4500, Longview, TX 75605-2412
Phone Number
903-291-6287
Fax Number
903-291-6286
Primary Taxonomy
Physician Assistant, Medical · 363AM0700X
Sole Proprietor
No
Provider Enumeration Date
November 19, 2014
Last Update Date
February 25, 2025
Certification Date
February 25, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
709 Hollybrook Dr Ste 4500
Longview, TX 75605-2412
State
Texas
Zip
75605-2412
Phone Number
903-291-6287
Fax Number
903-291-6286
Longview, TX 75605Get directions →

Provider Business Mailing Address Details

Address
Po Box 29343
Belfast, ME 04915-2045
City
Belfast
State
ME
Zip
04915-2045
Phone Number
903-232-8290
Fax Number
903-237-1810

License Information

License Number (1)
52761
License State (1)
CA
Taxonomy (1)
Physician Assistant, Medical · 363AM0700X
License Number (2)
PATEMP
License State (2)
TX
Taxonomy (2)
Physician Assistant, Medical · 363AM0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jennifer B Benson, PA-C?

The NPI number of Jennifer B Benson, PA-C is 1003213059. It was assigned on November 19, 2014 and is currently active in the NPPES registry.

What is the specialty of Jennifer B Benson, PA-C?

Jennifer B Benson, PA-C is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in CA under license number 52761.

Where does Jennifer B Benson, PA-C practice?

The practice location is 709 Hollybrook Dr Ste 4500, Longview, TX 75605-2412. The office can be reached at 903-291-6287 (phone) or 903-291-6286 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003213059 directly on the NPPES registry website.

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