Individual
JENNER BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
201 STATE ST, ERIE, PA 16550-0002
(814) 877-6000
Mailing address
512 RASPBERRY ST, ERIE, PA 16507-1044
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN739888
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN739888
PA-RN LICENSE
PA
Enumeration date
07/05/2021
Last updated
07/05/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us