NPI 1366522997

Jackie L Benson, CRNA

Practitioner Certified Registered Nurse Anesthetist Vicksburg, MS

Practice location

Address: 2100 Highway 61 N, Vicksburg, MS 39183-8211
Phone: (601) 883-5000

Registered specialties

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence R124440 (MS)

Other Nurse Anesthetist, Certified Registered providers in Mississippi →

Registry record

NPI: 1366522997
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Oct 2006
Record last updated: 8 Jul 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.