MEDICARE: SHARON ELISE BENJAMIN NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	71015605A	IN
2	363LA2100X	Acute Care Nurse Practitioner	71015605A	IN
3	163W00000X	Registered Nurse	28251468A	IN

General Provider Information

NPI Number	:	1336927649
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHARON ELISE BENJAMIN NP

Provider Business Mailing Address
First Line	:	PO BOX 637764
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45263-7764
Country	:	US
Telephone Number	:	317-880-3939
Fax Number	:

Provider Business Practice Location Address
First Line	:	2700 DR MARTIN LUTHER KING JR ST
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46208-5019
Country	:	US
Telephone Number	:	317-931-4300
Fax Number	:	317-931-4330

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/18/2023
Last Update Date	:	12/04/2025

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