Individual
DONNA BENEDICT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
505 N JACKSON ST, JACKSON, MI 49201-1266
(517) 748-5500
Mailing address
505 N JACKSON ST, JACKSON, MI 49201-1266
(517) 748-5500
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704103705
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1558537266
NPI
MI
Enumeration date
05/02/2008
Last updated
12/15/2014
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