Provider Demographics
NPI:1447049382
Name:BENSON, CYNTHIA LYSLE (RN)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:LYSLE
Last Name:BENSON
Suffix:
Gender:
Credentials:RN
Other - Prefix:
Other - First Name:CYNTHIA
Other - Middle Name:LYSLE
Other - Last Name:JACOBSEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:1539 HILTON AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31906-2034
Mailing Address - Country:US
Mailing Address - Phone:706-662-1922
Mailing Address - Fax:
Practice Address - Street 1:1539 HILTON AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31906-2034
Practice Address - Country:US
Practice Address - Phone:706-662-1922
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-06
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDR028097163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse