Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNIFER BLACK, PAC
ActiveJENNIFER BLACK, PAC is a Physician Assistant healthcare provider located in MERRILL, Wisconsin. NPI 1164462792 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · MERRILL, WI
Registration Details
- NPI Number
- 1164462792
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 8, 2006 (19.998710739337 yrs)
- Last Updated
- Apr 20, 2017
- License
-
1910 (WI)
Practice Information
- Address
-
601 S CENTER AVEMERRILL, WI, 544523404Browse WI providers · Browse ZIP 54452
- Phone
- 7155365511
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in MERRILL, WI
| Name | Credential | NPI |
|---|---|---|
| STEVE PETER DAIGLE | PA-C | 1205054582 |
| KRISTIN L MOCADLO | PA-C | 1558597666 |
| MICHELE MCNALLEY WILSON | PA-C | 1982978367 |
| KETEVAN SHONIA | — | 1518642271 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.