Physician Assistant
JACQUELINE BENNER PA-C
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1730376229 · enumerated 2007-09-27 · record updated 2017-10-16. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 2799 W GRAND BLVD, DETROIT, MI, 48202-2608 (313) 916-2600 Google Maps Apple Maps OpenStreetMap
- Mailing address 1110 S OXFORD RD, GROSSE POINTE WOODS, MI, 48236-1871 (313) 588-2986 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant, Surgical 363AS0400X · License 085003068 IL
- Physician Assistant 363A00000X · Primary · License 085003068 MI
In this directory
Locations and evidence
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Practice location
DETROIT, MI, 482022608
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.