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

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