Individual provider · Type 1 NPI

Jennifer Blair Garrett Benson, PA-C

Medical Physician Assistant · Longview, TX

NPI number 1003213059 Active

Practice location

709 Hollybrook Dr Ste 4500
Longview, TX 75605-2412

Fax (903) 291-6286

Mailing address

PO Box 29343
Belfast, ME 04915-2045

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700X52761 (CA)
Medical Physician Assistant Primary 363AM0700XPATEMP (TX)

Medical Physician Assistant: Definition to come...

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About NPI 1003213059

Jennifer Blair Garrett Benson, PA-C's National Provider Identifier is 1003213059, issued on Nov 19, 2014. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Longview, TX. The record was last updated on Feb 25, 2025.