HomeNPI Verification

NPI Verification

National Provider Identifier: 1407878747

Patrise Bennett, MD

Individual Provider

Credentials

Primary Specialty

Family Medicine

Code: 207Q00000X

Practice Address

5606 OLD CANTON RD

JACKSON, MS 392114217

Phone: 601-957-3333

NPI Enumeration Date

July 24, 2006

NPI Number

1407878747

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry