Jordan Benner
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Clinton, NC
NPI 1700728532 · NPPES record last updated Jun 11, 2026
Key facts
- NPI
- 1700728532
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- License
- RTL26-0805 (NC)
- Practice address
- 607 Beaman St
Clinton, NC 28328-2603 - Phone
- (910) 592-8511
- NPI assigned
- Apr 9, 2026
- Sex
- Male
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | RTL26-0805 | NC | Yes |
Addresses
Primary practice location
607 Beaman St
Clinton, NC 28328-2603
Mailing address
607 Beaman St
Clinton, NC 28328-2603
Phone (910) 592-8511
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jordan-benner@sampsonrps.e-mdsdirect.com | Sampson Regional Professional Services LLC. |
Other providers in Clinton, NC
- Ted Albert Bauman
- Jeffrey Gordon Bell
- Warren Joe Bell
- David B. Benner
- Dawn B. Benner
- Kateland Bennett
- Lesley Best
- Mariah Barefoot Best
- Gurvinder Singh Bhatti
- Angela Lynne Binkowski
All providers in Clinton, NC · Student in an Organized Health Care Education/Training Program in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 11, 2026. 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.