| Fred A Benjamin Iv, CRNA | |
|
36 Brentshire Sq, Jackson, TN 38305-2245 | |
| (731) 664-1717 | |
| (731) 664-7114 |
| Full Name | Fred A Benjamin Iv |
|---|---|
| Gender | Male |
| Speciality | Registered Nurse |
| Location | 36 Brentshire Sq, Jackson, Tennessee |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063404036 | NPI | - | NPPES |
| 3622768 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN0000085124 (Tennessee) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Fred A Benjamin Iv, CRNA 70 State Route 420, Humboldt, TN 38343-5619 Ph: (731) 824-1939 | Fred A Benjamin Iv, CRNA 36 Brentshire Sq, Jackson, TN 38305-2245 Ph: (731) 664-1717 |
Mrs. Vanessia Ann Hammonds, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 295 Summar Dr, Jackson, TN 38301 Phone: 731-625-5092 | |
Christina Ann Krewer, R.N. Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 121 Physicians Drive, Jackson, TN 38305 Phone: 731-664-5050 | |
Brian G Brown, Registered Nurse Medicare: Medicare Enrolled Practice Location: 384d Carriage House Drive, Jackson, TN 38305 Phone: 731-256-2006 Fax: 731-256-2007 | |
Susan Alexander, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 295 Summar Dr, Jackson, TN 38301 Phone: 731-421-6754 | |
Amber Barnett, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 295 Summar Dr, Jackson, TN 38301 Phone: 731-421-6752 Fax: 731-421-5000 | |
Jamie Wood, Registered Nurse Medicare: Medicare Enrolled Practice Location: 221 Sterling Farm Dr, Jackson, TN 38305 Phone: 731-300-6155 Fax: 731-300-6955 | |
Heather Susan Vega, CRNA Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 23 Shiloh Spgs, Jackson, TN 38305 Phone: 731-358-1008 |