Individual provider · Type 1 NPI

Jalisa Brianna Benjamin, FNP-C

Family Nurse Practitioner · Washington, GA

NPI number 1790283885 Active

Practice location

212 Hospital Dr # De
Washington, GA 30673-5619

Call (706) 678-6944 Map

Mailing address

872 Fletcher Stanley Rd
Montrose, GA 31065-3310

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XAPRN-NP307032 (GA)
Licensed Practical Nurse 164W00000XLPN094885 (GA)

Family Nurse Practitioner: Definition to come...

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About NPI 1790283885

Jalisa Brianna Benjamin, FNP-C's National Provider Identifier is 1790283885, issued on Jan 24, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Washington, GA. The record was last updated on Sep 2, 2026.