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Jordan Benner

Student in an Organized Health Care Education/Training Program in Clinton, NC. Individual provider (NPI-1).

NPI number1700728532
StatusActive
Last updated in NPPESJun 11, 2026

Details

NPI
1700728532
Entity type
Individual (NPI-1)
Name
Jordan Benner
Sex
Male
Sole proprietor
No
Enumeration date
Apr 9, 2026
Certification date
Jun 11, 2026
Last updated
Jun 11, 2026

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training ProgramRTL26-0805NCYes

Practice location

607 Beaman St
Clinton, NC 28328-2603

Phone 910-592-8511

Mailing address

607 Beaman St
Clinton, NC 28328-2603

Phone 910-592-8511

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Student in an Organized Health Care Education/Training Program providers in Clinton, NC

All 29 Student in an Organized Health Care Education/Training Program providers in Clinton · All 606 providers in Clinton

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