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Benjamin Jack — NPI 1821928821, Nome, AK | NPI Central

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NPI 1821928821

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Benjamin Jack

NPI 1821928821 · Peer Specialist · Nome, AK

Provider details

NPI number: 1821928821
Entity type: Individual
Primary specialty: Peer SpecialistOther Service Providers
Sex: Male
Sole proprietor: No

Specialties & taxonomies

Peer SpecialistPrimary175T00000X
Other Service Providers

Practice location

1000 Greg Kruschek Ave.

Nome, AK 99762

Phone: (907) 443-3311

Approximate (ZIP-level) locationGet directions

More AK providers

Mailing address

P.o Box 966

Nome, AK 99762-0966

Registry dates

Enumerated: 2026-05-21
Last updated: 2026-05-21
Certified: 2026-05-14

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.