Benjamin Jack

Peer Specialist · Nome, AK

Individual Active NPI

NPI number 1821928821

Practice location

1000 Greg Kruschek Ave.
Nome, AK 99762
Phone
(907) 443-3311

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NPI record

NPI
1821928821
Entity type
Individual (Type 1)
Enumeration date
May 21, 2026
Last updated
May 21, 2026
Certified
May 14, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Peer Specialist Primary 175T00000X — —

Mailing address

P.O Box 966
Nome, AK 99762-0966
Phone
(907) 443-3311

About Benjamin Jack

Benjamin Jack is a healthcare provider registered in the NPI registry with the primary taxonomy Peer Specialist (code 175T00000X). The practice location is 1000 Greg Kruschek Ave., Nome, AK 99762. The NPI number 1821928821 was assigned on May 21, 2026 and the record was last updated on May 21, 2026.

Frequently asked questions

What is the NPI number of Benjamin Jack?

The NPI number is 1821928821.

What is the phone number of Benjamin Jack?

The phone number listed for the practice location is (907) 443-3311.

Where is Benjamin Jack located?

1000 Greg Kruschek Ave., Nome, AK 99762.

What is the taxonomy code for Benjamin Jack?

The primary taxonomy code is 175T00000X – Peer Specialist.

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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