Dejoris Bennett

Case Manager/Care Coordinator · Jacksonville, FL

Individual Active NPI

NPI number 1295625663

Practice location

2392 Edgewood Ave N
Jacksonville, FL 32254-1725
Phone
(904) 485-2128

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NPI record

NPI
1295625663
Entity type
Individual (Type 1)
Enumeration date
July 8, 2025
Last updated
July 15, 2025
Certified
July 15, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Case Manager/Care Coordinator Primary 171M00000X — —
Day Training/Habilitation Specialist 373H00000X — —

About Dejoris Bennett

Dejoris Bennett is a healthcare provider registered in the NPI registry with the primary taxonomy Case Manager/Care Coordinator (code 171M00000X). The practice location is 2392 Edgewood Ave N, Jacksonville, FL 32254-1725. The NPI number 1295625663 was assigned on July 8, 2025 and the record was last updated on July 15, 2025.

Frequently asked questions

What is the NPI number of Dejoris Bennett?

The NPI number is 1295625663.

What is the phone number of Dejoris Bennett?

The phone number listed for the practice location is (904) 485-2128.

Where is Dejoris Bennett located?

2392 Edgewood Ave N, Jacksonville, FL 32254-1725.

What is the taxonomy code for Dejoris Bennett?

The primary taxonomy code is 171M00000X – Case Manager/Care Coordinator; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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