Benjamin, Jalisa Brianna

Benjamin, Jalisa Brianna is an individual health care provider with primary practice located at 212 Hospital Dr # De , Washington GA 30673-5619. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Nursing Service Providers / Licensed Practical Nurse. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Benjamin, Jalisa Brianna can be contacted via phone (706) 678-6944.

Contact Information

Primary practice address
212 Hospital Dr # De Washington GA 30673-5619
Phone: (706) 678-6944
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN-NP307032 Georgia
Nursing Service Providers / Licensed Practical Nurse 164W00000X LPN094885 Georgia

Profile Details

NPI number 1790283885
LBN Legal business name Benjamin, Jalisa Brianna
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2018
Last updated Sep 2nd, 2026 - about 2 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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