Individual
JANE ELLEN BENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
01082384A
IN
208000000X
Pediatrics Physician
Primary
ME138422
FL
208D00000X
General Practice Physician
0101241220
VA
Other
Enumeration date
05/27/2007
Last updated
05/12/2021
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