Individual provider · Type 1 NPI

Jamie Sean Benson

Student in an Organized Health Care Education/Training Program · Philadelphia, PA

NPI number 1104762392 Active

Practice location

3400 Civic Center Blvd
Philadelphia, PA 19104-5127

Mailing address

3600 Civic Center Blvd, Ggeb, 5th Floor
Philadelphia, PA 19104-4310

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1104762392

Jamie Sean Benson's National Provider Identifier is 1104762392, issued on Apr 28, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Philadelphia, PA. The record was last updated on Jun 23, 2026.