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

Patrise Bennett, MD

Individual provider Family Medicine Physician · NPI 1407878747

Patrise Bennett, MD is a Family Medicine Physician in Jackson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2006.

Licensed in
MS
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

5606 Old Canton Rd
Jackson, MS 39211-4217
Phone: (601) 957-3333
Fax: (601) 957-3334
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 15488 (MS)

Record details

NPI number1407878747
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 24, 2006
Last updated in NPPESJuly 8, 2007
Mailing address5606 Old Canton Rd, Jackson, MS 39211-4217

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