Fred Benjamin IV, CRNA

Individual Active
NPI 1063404036
Registered Nurse Jackson, TN

NPI 1063404036 belongs to Fred Benjamin IV, CRNA, a registered nurse with a practice location in Jackson, TN. The NPI was issued on August 16, 2005, and the record was last updated in NPPES on July 13, 2026.

Taxonomies and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X RN0000085124 (TN)

Practice location

36 Brentshire Sq
Jackson, TN 38305-2245
Phone: (731) 664-1717

Local context

Active NPPES records list 64 providers with registered nurse as the primary taxonomy within 25 miles of this practice location's ZIP code, 32 of them within 10 miles.

The same primary taxonomy is listed by 3,441 in Tennessee and 156,539 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Fred A Benjamin IV
Status
Active
NPI issued
Last updated in NPPES

Is this your record? Updates are made through NPPES, the official National Plan and Provider Enumeration System.

NPPES data as of · Source: CMS NPPES

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