Provider Demographics
NPI:1790100287
Name:BENN, JAMES ARTHUR JR (NP)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:ARTHUR
Last Name:BENN
Suffix:JR
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:955 RIBAUT RD
Mailing Address - Street 2:BMAC CREDENTIALING
Mailing Address - City:BEAUFORT
Mailing Address - State:SC
Mailing Address - Zip Code:29902-5441
Mailing Address - Country:US
Mailing Address - Phone:843-522-5674
Mailing Address - Fax:843-522-5678
Practice Address - Street 1:BEAUFORT MEMORIAL SEA ISLAND PSYCHIATRY
Practice Address - Street 2:989 RIBAUT RD, STE 330
Practice Address - City:BEAUFORT
Practice Address - State:SC
Practice Address - Zip Code:29902-5426
Practice Address - Country:US
Practice Address - Phone:843-522-5600
Practice Address - Fax:844-311-9829
Is Sole Proprietor?:No
Enumeration Date:2014-02-20
Last Update Date:2019-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC18704363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC18704OtherSTATE LICENSE BOARD
SCNP2746Medicaid