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General NPI Number Information
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NPI Number | 1477476109
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Entity Type | Individual
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Provider Name | JESSICA BENZ FNP-C
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Gender | Female
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Dates
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Enumeration Date | 07/31/2026
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Last Update Date | 07/31/2026
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Provider Practice Location Address
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Address Line | 724 W FRANKLIN ST
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City | JACKSON
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State | MI
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Zip | 49201-2008
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Country | US
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Telephone | 517-784-3100
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Fax |
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Provider Business Mailing Address
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Address Line | 3857 THORNCREST DR
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City | JACKSON
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State | MI
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Zip | 49203-7103
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Country | US
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Telephone | 517-581-6845
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 4704321105
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License Number State | MI
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