NPI 1407878747 · live from the CMS NPI Registry
Patrise Bennett, MD
Family Medicine in Jackson, MS. National Provider Identifier 1407878747, active.
NPI record
| NPI | 1407878747 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 5606 Old Canton Rd, Jackson, MS 39211 |
| Practice phone | 601-957-3333 |
| Enumerated | July 24, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | 15488 (MS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.