Individual
JUDITH GAIL BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
391 SERPENTINE DR, SUITE 400, SPARTANBURG, SC 29303-3096
(864) 560-7517
(864) 560-7520
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
APN.17986
SC
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
17986
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP2162
—
SC
01
—
P01201997
RAILROAD MEDICARE
SC
01
—
SC05057652
MEDICARE PIN
SC
Enumeration date
07/20/2006
Last updated
11/17/2017
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