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NPI Verification

National Provider Identifier: 1821832817

Emily Grace Bennett, PA-C

Individual Provider

Credentials

PA-C

Primary Specialty

Internal Medicine

Code: 207R00000X

Practice Address

971 LAKELAND DR STE 250

JACKSON, MS 392164620

Phone: 662-803-5763

NPI Enumeration Date

June 24, 2024

NPI Number

1821832817

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