Jennifer Lee Black, APN
Nurse Practitioner in Warner Robins, GA. Individual provider (NPI-1).
NPI number1689172769
StatusActive
Last updated in NPPESSep 13, 2024
Details
- NPI
- 1689172769
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Lee Black
- Credential
- APN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 24, 2018
- Certification date
- Sep 13, 2024
- Last updated
- Sep 13, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | RN089820 | GA | Yes |
Practice location
500 Osigian Blvd Ste 300Warner Robins, GA 31088-8008
Phone 478-971-1099 · Fax 478-971-1098
Mailing address
500 Osigian Blvd Ste 300Warner Robins, GA 31088-8008
Phone 478-971-1099 · Fax 478-971-1098
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All 41 Nurse Practitioner providers in Warner Robins · All 2,395 providers in Warner Robins
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