Whalio Doctors

NPI 1013196112

Mary J. Jody Benson, RN

Practitioner Psychiatric/Mental Health Registered Nurse San Luis Obispo, CA

Practice location

Address
351 Corrida Dr, San Luis Obispo, CA 93401-5524
Phone
(805) 546-0313
Fax
(805) 782-9107

Registered specialties

Psychiatric/Mental Health Registered Nurse Primary
Nursing Service Providers Taxonomy 163WP0808X Licence 234315 (CA)

Registry record

NPI
1013196112
Entity type
Individual
Sex (as registered)
Female
NPI issued
25 Oct 2007
Record last updated
25 Oct 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.