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Contact Information

CRYSTAL T BENTON, APRN
2040 DAN PROCTOR DR STE 240
SAINT MARYS, GA31558-3801
 Phone: 912-576-6340
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for CRYSTAL T BENTON · (Female)

NPI Number 1265071534
Status Active
Credentials APRN (Advanced Practice Registered Nurse)
Entity Individual
Enumeration date 01/03/2020
Last updated 12/17/2025 - About 6 months ago
Sole proprietor 1 No
Identifiers
  • FL License # 11005714
  • FL License # RN9429902
  • GA License # APRN-NP239197
Hospital affiliation(s)
  • SHANDS JACKSONVILLE MEDICAL CENTER - (Acute Care)
    655 W 8TH ST
    JACKSONVILLE, FL 32209
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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