person
Blake Jordan Benner
Student in an Organized Health Care Education/Training Program in Winston Salem, North Carolina
NPI 1255918504

Blake Jordan Benner is a Student in an Organized Health Care Education/Training Program based in Des Plaines, NC. Blake Jordan Benner practices in Winston Salem, NC. The NPI Number for Blake Jordan Benner is 1255918504 and holds a License No. (North Carolina).

The current practice location address for Blake Jordan Benner is Medical Center Boulevard, Winston Salem, NC and can be reached out via phone at 336-716-4498.

Location: Medical Center Boulevard, Winston Salem, NC, 60018-1444
person
Provider Profile Details
NPI Number
1255918504
Provider Name
Blake Jordan Benner
Credential
Provider Entity Type
Individual
Gender
Male
Address
Medical Center Boulevard, Winston Salem, NC, 60018-1444
Phone Number
336-716-4498
Fax Number
Provider Enumeration Date
03/24/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
Medical Center Boulevard
City
State
Zip
27157-1444
Phone Number
336-716-4498
Fax Number
person
Provider Business Mailing Address Details
Address
Medical Center Boulevard
City
State
Zip
27157-1444
Phone Number
336-716-4498
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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