Individual provider · Type 1 NPI

Chevon Cooper-Benjamin

Licensed Practical Nurse · Salem, VA

NPI number 1093676215 Active

Practice location

1970 Roanoke Blvd
Salem, VA 24153-6404

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X0002101786 (VA)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1093676215

Chevon Cooper-Benjamin's National Provider Identifier is 1093676215, issued on Nov 18, 2025. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Salem, VA. The record was last updated on Nov 18, 2025.