Individual
MS. JANE TAYLOR BENJAMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
9574 FOLEY BLVD NW, COON RAPIDS, MN 55433-5537
(763) 783-3722
(763) 783-7944
Mailing address
9574 FOLEY BLVD NW, COON RAPIDS, MN 55433-5537
(763) 783-3722
(763) 783-7944
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R 81484-3
MN
Other
Enumeration date
10/18/2009
Last updated
10/18/2009
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