Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fred A Benjamin IV, CRNA

Individual provider Registered Nurse · NPI 1063404036

Fred A Benjamin IV, CRNA is a Registered Nurse in Jackson, Tennessee. Licensed in Tennessee. Registered with an NPI since 2005.

Licensed in
TN
In the registry since
2005
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Practice location Address checks out

36 Brentshire Sq
Jackson, TN 38305-2245
Phone: (731) 664-1717
Fax: (731) 664-7114
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence RN0000085124 (TN)

Record details

NPI number1063404036
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedAugust 16, 2005
Last updated in NPPESJuly 13, 2026
Mailing address70 State Route 420, Humboldt, TN 38343-5619

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