Individual
MS. JEANNE R BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
609 BRUNSON DR, TUPELO, MS 38801-4948
(662) 405-4486
(662) 205-4588
Mailing address
609 BRUNSON DR, TUPELO, MS 38801-4948
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R701025
MS
363LF0000X
Family Nurse Practitioner
R701025
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06236897
—
MS
Enumeration date
06/15/2006
Last updated
08/25/2025
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