Individual
JENNIFER LEE BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
500 OSIGIAN BLVD STE 300, WARNER ROBINS, GA 31088-8008
(478) 971-1099
(478) 971-1098
Mailing address
500 OSIGIAN BLVD STE 300, WARNER ROBINS, GA 31088-8008
(478) 971-1099
(478) 971-1098
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN089820
GA
Other
Enumeration date
01/24/2018
Last updated
09/13/2024
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