Individual
MS. JANET LYNN BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP, RN
Contact information
Practice address
273 SUSSEX AVE E, TENINO, WA 98589-9359
(360) 264-5665
(360) 264-5666
Mailing address
5040 STATE HIGHWAY 507 SE, TENINO, WA 98589-9661
(360) 264-5665
(360) 264-5666
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP30004239
WA
Other
Enumeration date
05/10/2007
Last updated
05/07/2008
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