Jennifer K Black, N.P.
NPI #1174607576 in Springfield, Illinois
Provider Information
- NPI Number
- 1174607576
- Entity Type
- Individual
- Name
- Jennifer K Black, N.P.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Adult Health
- Credential
- N.P.
- Enumeration Date
- Oct 24, 2006
- Last Updated
- Dec 20, 2021
Practice Location
- Address
- 619 E MASON ST
- Address 2
- SUITE 4P57
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62701-1034
- Phone
- (217) 788-0706
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Interventional Cardiology — Interventional Cardiology |
| Nurse Practitioner - Adult Health — Adult Health |
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