Individual
MS. JEANNE MARIE BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7151 RICHMOND RD, SUITE 401, WILLIAMSBURG, VA 23188-7234
(757) 565-1700
(757) 565-6068
Mailing address
PO BOX 801, TOANO, VA 23168-0801
(757) 565-1700
(757) 565-6068
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
0017000296
VA
Other
Enumeration date
04/15/2010
Last updated
04/15/2010
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