Individual provider · Type 1 NPI
Jordan Benson, NP
Obstetrics & Gynecology Nurse Practitioner · Brainerd, MN
NPI number
1104126994
Active
Practice location
2024 S 6th St
Brainerd, MN 56401-3054
Fax (218) 828-7194
Mailing address
523 N 3rd St
Brainerd, MN 56401-3054
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | 828847 (MN) |
| Obstetrics & Gynecology Nurse Practitioner Primary | 363LX0001X | BER104357610 (MN) |
Obstetrics & Gynecology Nurse Practitioner: Definition to come...
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About NPI 1104126994
Jordan Benson, NP's National Provider Identifier is 1104126994, issued on Oct 26, 2010. The primary taxonomy on file is Obstetrics & Gynecology Nurse Practitioner (363LX0001X), and the practice location is in Brainerd, MN. The record was last updated on Jan 7, 2016.