Individual provider · NPI-1

Jennifer Benincasa, D.O.

Preventive Medicine, Aerospace Medicine · Fort Rucker, AL

NPI number1508091828
StatusActive
Last updated in NPPESApr 10, 2026

Details

NPI
1508091828
Entity type
Individual (NPI-1)
Name
Jennifer Benincasa
Credential
D.O.
Sex
Female
Sole proprietor
No
Enumeration date
May 17, 2009
Certification date
Apr 10, 2026
Last updated
Apr 10, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2083A0100X Preventive Medicine, Aerospace MedicineDOS1358HIYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

301 Andrews Avenue
Fort Rucker, AL 36362

Phone 800-261-7193

Mailing address

301 Andrews Ave
Fort Rucker, AL 36362

Phone 334-255-7409

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