Provider Demographics
NPI:1295227825
Name:BENSON, JANETTE MARIE (BS, BSN, RNC-NIC, NP)
Entity type:Individual
Prefix:
First Name:JANETTE
Middle Name:MARIE
Last Name:BENSON
Suffix:
Gender:F
Credentials:BS, BSN, RNC-NIC, NP
Other - Prefix:
Other - First Name:JANETTE
Other - Middle Name:MARIE
Other - Last Name:SHAVER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:24 FRANK LLOYD WRIGHT DR STE J2000
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48105-9484
Mailing Address - Country:US
Mailing Address - Phone:734-747-6766
Mailing Address - Fax:
Practice Address - Street 1:5301 MCAULEY DR
Practice Address - Street 2:
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48197-1051
Practice Address - Country:US
Practice Address - Phone:734-712-3327
Practice Address - Fax:734-712-5525
Is Sole Proprietor?:No
Enumeration Date:2018-05-30
Last Update Date:2025-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704286611363L00000X, 363LN0000X
OHAPRN.CNP.023624363LN0000X, 363LN0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LN0005XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal, Critical Care