Jasmine Benson
Individual provider Active NPI Licensed Practical Nurse · Smyrna, DE
NPI 1487300208 · NPPES record last updated Mar 2, 2022
Key facts
- NPI
- 1487300208
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- L2-0013616 (DE)
- Practice address
- 320 N High Street Extended
Smyrna, DE 19977-1183 - Phone
- (833) 886-2277
- NPI assigned
- Mar 2, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L2-0013616 | DE | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | L2-0013616 | DE | Yes |
Addresses
Primary practice location
320 N High Street Extended
Smyrna, DE 19977-1183
Mailing address
590 Naamans Rd
Claymont, DE 19703-2308
Phone (833) 886-2277
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| L2-0013616 | Medicaid | DE |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jbenson@coraswellness.org |
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All providers in Smyrna, DE · Licensed Practical Nurse in Delaware
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 2, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.