Individual
DR. JENNA C BENGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5012
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5012
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
T-5583
MS
207R00000X
Internal Medicine Physician
Primary
T-5583
MS
Other
Enumeration date
07/20/2012
Last updated
07/01/2025
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