Individual provider · Type 1 NPI
Jonathan Livingston Benjamin
Driver · Antioch, TN
NPI number
1750138574
Active
Practice location
7602 Gunners Landing Dr
Antioch, TN 37013-3881
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | 094847770 (TN) |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
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About NPI 1750138574
Jonathan Livingston Benjamin's National Provider Identifier is 1750138574, issued on Apr 30, 2024. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Antioch, TN. The record was last updated on Apr 30, 2024.