institution
Amy Benjamin
Family Nurse Practitioner in Booneville, Mississippi
NPI 1770672339

Amy Benjamin is a Family Nurse Practitioner based in Wheeler, MS and is specialized in Family. Amy Benjamin practices in Booneville, MS. The NPI Number for Amy Benjamin is 1770672339 and holds a License No. (Mississippi).

The current practice location address for Amy Benjamin is 618 Cr 5031, Booneville, MS and can be reached out via phone at 662-365-0200 and via fax at 662-365-0199.

Location: 618 Cr 5031, Booneville, MS, 38880-0095
institution
Provider Profile Details
NPI Number
1770672339
Provider Name
Amy Benjamin
Credential
Provider Entity Type
Organization
Address
618 Cr 5031, Booneville, MS, 38880-0095
Phone Number
662-365-0200
Fax Number
662-365-0199
Provider Enumeration Date
10/12/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
04071559 05 MS
C03567 01 CLINIC UPIN
03904817 05 MS
04071559 01 MEDICAID GROUP
institution
Provider Business Practice Location Address Details
Address
618 Cr 5031
City
State
Zip
38829
Phone Number
662-365-0200
Fax Number
662-365-0199
person
Provider Business Mailing Address Details
Address
618 Cr 5031
City
State
Zip
38829
Phone Number
662-365-0200
Fax Number
662-365-0199
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
License No.
R850588 (Mississippi)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
()
Definition
Definition to come...
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