Jennifer Lynn Black, RN
Registered Nurse in Vinita, OK. Individual provider (NPI-1).
NPI number1336740786
StatusActive
Last updated in NPPESNov 3, 2020
Details
- NPI
- 1336740786
- Entity type
- Individual (NPI-1)
- Name
- Ms. Jennifer Lynn Black
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 3, 2020
- Certification date
- Nov 3, 2020
- Last updated
- Nov 3, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 107607 | OK | Yes |
| 171M00000X | Case Manager/Care Coordinator | – | – |
Practice location
24919 S 4420 RoadVinita, OK 74301
Phone 918-256-9210 · Fax 918-256-6356
Mailing address
24919 S 4420 RoadVinita, OK 74301
Phone 918-256-9210 · Fax 918-256-6356
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All 20 Registered Nurse providers in Vinita · All 610 providers in Vinita
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