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Individual

BENJY JOSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
4076 NEELY ROAD; BLDG 4076, ROOM 1B-201, FORT WAINWRIGHT, AK 99703
(907) 361-4000
(407) 630-6884
Mailing address
4076 NEELY ROAD; BLDG 4076, ROOM 1B-201, FORT WAINWRIGHT, AK 99703
(907) 361-4000

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN11009265
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
115566100
FL
01
APRN11009265
FL MEDICAL LICENSE
FL
Enumeration date
08/17/2020
Last updated
01/30/2026
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