Individual
DR. JESSICA ASHLEY BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1501 N CAMPBELL AVE, TUCSON, AZ 85721-9498
(520) 626-4657
Mailing address
1501 N CAMPBELL AVE, TUCSON, AZ 85724-5073
(520) 626-7944
(520) 626-5652
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
R3758
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/14/2021
Last updated
02/14/2024
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