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

Makeba Lacheryl Benjamin

Individual provider Nurse Practitioner · NPI 1568259109

Makeba Lacheryl Benjamin is a Nurse Practitioner in Stockton, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2025

Practice location Address checks out

10310 Vaughn Dr
Stockton, CA 95212-9344
Phone: (209) 981-9551
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 95034214 (CA)

Record details

NPI number1568259109
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 24, 2025
Last updated in NPPESApril 24, 2025
Certification dateApril 24, 2025
Mailing address10310 Vaughn Dr, Stockton, CA 95212-9344

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