Individual provider · Type 1 NPI

Jacob Alan Bennett

Critical Care Medicine Nurse Practitioner · Charleston, SC

NPI number 1083499297 Active

Practice location

25 Courtenay Dr Ste 4200
Charleston, SC 29425-4001

Call (843) 876-5744 Map

Mailing address

PO Box 751461
Charlotte, NC 28275-1461

Specialties and licenses

TaxonomyCodeLicense
Critical Care Medicine Nurse Practitioner Primary 363LC0200X28580 (SC)

Critical Care Medicine Nurse Practitioner: Definition to come...

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About NPI 1083499297

Jacob Alan Bennett's National Provider Identifier is 1083499297, issued on Aug 28, 2023. The primary taxonomy on file is Critical Care Medicine Nurse Practitioner (363LC0200X), and the practice location is in Charleston, SC. The record was last updated on May 8, 2024.