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NPI Code Detail

MEDICARE: EBONY MONIQUE BENJAMIN CRNA

MEDICARE: EBONY MONIQUE BENJAMIN CRNA
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
1367500000XCertified Registered Nurse AnesthetistGAA-CRNA001098GA
2163W00000XRegistered NurseRN9217092FL
3367500000XCertified Registered Nurse AnesthetistARNP9217092FL
4367500000XCertified Registered Nurse Anesthetist0024187014VA

General Provider Information

NPI Number : 1326287020
Entity Type Code : Individual
Provider Name (Legal Business Name) : EBONY MONIQUE BENJAMIN CRNA
Provider Business Mailing Address
First Line : 4500 SAN PABLO RD S
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32224-1865
Country : US
Telephone Number : 904-953-2000
Fax Number :
Provider Business Practice Location Address
First Line : 4500 SAN PABLO RD S
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32224-1865
Country : US
Telephone Number : 904-953-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/19/2009
Last Update Date : 01/16/2026

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