IndividualActive
Jacob Bennett
NPI 1083499297 · Critical Care Medicine Nurse Practitioner · Charleston, SC
Provider details
- NPI number
- 1083499297
- Entity type
- Individual
- Primary specialty
- Critical Care Medicine Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 28580 (SC)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
25 Courtenay Dr Ste 4200
Charleston, SC 29425-4001
Phone: (843) 876-5744
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 751461
Charlotte, NC 28275-1461
Registry dates
- Enumerated
- 2023-08-28
- Last updated
- 2024-05-08
- Certified
- 2024-05-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.