Individual
MRS. KRISTEN HEATHER BENJAMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, BC
Contact information
Practice address
1120 15TH STREET, AUGUSTA, GA 30912-0004
(706) 721-8623
(706) 721-1459
Mailing address
1499 WALTON WAY, STE 1400, AUGUSTA, GA 30901-2603
(706) 828-8401
(706) 722-7235
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN167843
GA
363LF0000X
Family Nurse Practitioner
Primary
RN167843
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP1454
—
SC
Enumeration date
09/15/2007
Last updated
04/29/2024
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