MRS. JENNA C BENGE (NPI# 1942555438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942555438 |
| Entity Type | Individual |
| Full Name | MRS. JENNA C BENGE |
| Credential | ACNP |
| Practice Address |
330 N Broad St Forest MS 39074 |
| Mailing Address |
103 Ironwood Plantation Blvd Madison MS 39110-6042 |
| Practice Telephone | 6014694151 |
| Mailing Telephone | 6019417028 |
| Enumeration Date | 2012-07-20 |
| Last Update Date | 2018-05-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
R880073 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 2365762 | 05 | |
| MS | 05870006 | 05 |
| Street Address |
330 N BROAD ST |
| City | FOREST |
| State | MS |
| Zip Code | 39074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891735692 | Independent Healthcare Management, Inc | General Acute Care Hospital | 330 N Broad St, Forest, MS 39074-3508 | 2006-06-08 |
| 1528672276 | Megan Elizabeth Mcdaniel | Nurse Practitioner | 330 N Broad St, Forest, MS 39074-3508 | 2020-09-01 |
| 1609323450 | Megan Otto | Nurse Practitioner | 330 N Broad St, Forest, MS 39074-3508 | 2016-09-08 |
| 1417276106 | Nathan Lance Newman | Nurse Anesthetist, Certified Registered | 330 N Broad St, Forest, MS 39074-3508 | 2010-05-20 |
| 1649592791 | Independent Healthcare Management, Inc | General Acute Care Hospital | 330 N Broad St, Forest, MS 39074-3508 | 2010-02-17 |
| 1285956334 | Independent Healthcare Management, Inc. | Nurse Anesthetist, Certified Registered | 330 N Broad St, Forest, MS 39074-3508 | 2010-02-17 |
| 1114170529 | Rori E. Bridges | Nurse Practitioner | 330 N Broad St, Forest, MS 39074-3508 | 2008-10-29 |
| 1114104734 | Heather Taylor | Nurse Practitioner | 330 N Broad St, Forest, MS 39074-3508 | 2008-01-25 |
| 1679799399 | Jimmie Nell Rawson | Nurse Anesthetist, Certified Registered | 330 N Broad St, Forest, MS 39074-3508 | 2007-04-18 |
| 1306909734 | Independent Healthcare Management, Inc. | General Acute Care Hospital | 330 N Broad St, Forest, MS 39074-3508 | 2006-12-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467095927 | Tamatha Nicole Owen | Nurse Practitioner | 1061 Highway 35 S, Forest, MS 39074 | 2019-10-28 |
| 1154687838 | Region Ten Commission On Mental Health | Clinic/Center | 13682 Hwy 80 West, Forest, MS 39074 | 2012-04-06 |
| 1053567636 | Cathy G Cooper | Physical Therapist | 813 West 3rd Street, Forest, MS 39074 | 2008-08-14 |
| 1487866158 | Terry Ann Meadows | Clinic/Center | 330 North Broad St, Forest, MS 39074 | 2007-05-04 |
| 1770702144 | Randy K Reynolds | Dentist | 208 West 3rd Street, Forest, MS 39074 | 2007-04-24 |
| 1215067293 | John B. Smith, Jr. Dmd, Pa | Dentist | 1040 Highway 35 South, Drawer 30, Forest, MS 39074 | 2007-03-07 |
| 1225189244 | Douglas F Harvel, Jr | Dentist | 1040 Highway 35 S, Forest, MS 39074 | 2007-01-16 |
| 1861542433 | Forest Dental Practice Pllc | Dentist | Po Drawer 30, Forest, MS 39074 | 2007-01-12 |
| 1306996970 | John B Smith Jr. | Dentist | 1040 Hwy 35 South, Forest, MS 39074 | 2007-01-12 |
| 1295821072 | Buddy Lee Eady | Chiropractor | 500 East 3rd St., Forest, MS 39074 | 2006-10-05 |
| Find all providers in zip 39074 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306450358 | Sara Leanne Davis | Nurse Practitioner | 230 Possum Ridge Rd, Hollandale, MS 38748-3755 | 2020-09-06 |
| 1598385130 | Christy Busby | Nurse Practitioner | 128 Warren St, Pontotoc, MS 38863-1519 | 2020-04-23 |
| 1104459742 | Amanda Paige Michael | Nurse Practitioner | 200 Quail Run, Booneville, MS 38829-9001 | 2020-02-21 |
| 1891328340 | U Matter LLC | Nurse Practitioner | 2440 N Hills St Ste 126, Meridian, MS 39305-2634 | 2020-02-12 |
| 1255978367 | Tanya Haley Mcgee | Nurse Practitioner | 229 Old Yorkville Rd S, Columbus, MS 39702-8440 | 2019-12-08 |
| 1447893888 | Spectrum The Other Clinic | Nurse Practitioner | 2910 Magnolia Pl, Hattiesburg, MS 39402-2428 | 2019-10-17 |
| 1053962068 | Lauren Lanier Guthrie | Nurse Practitioner | 102 Friars Cv, Clinton, MS 39056-3411 | 2019-09-23 |
| 1588212229 | David Buckheister | Nurse Practitioner | 612 Liz Cir, Gulfport, MS 39503-3712 | 2019-08-27 |
| 1821583196 | Amanda Houston Trent | Nurse Practitioner | 4381 S Eason Blvd Ste 203, Tupelo, MS 38801-6557 | 2018-06-28 |
| 1093224446 | Jennifer Hurley | Nurse Practitioner | 2809n Denny Ave, Pascagoula, MS 39581-5301 | 2017-09-28 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.