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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JENNIFER K BLACK, N.P.

Active

JENNIFER K BLACK, N.P. is a Adult Health Nurse Practitioner healthcare provider located in SPRINGFIELD, Illinois. NPI 1174607576 is currently active in the NPPES registry. Verify at CMS.

Adult Health Nurse Practitioner · SPRINGFIELD, IL

Registration Details

NPI Number
1174607576
Provider Type
Individual
Gender
Female
NPI Issued
Oct 24, 2006 (19.805296905598 yrs)
Last Updated
Dec 20, 2021
Licenses
209002373 (IL)
209002373 (IL)

Practice Information

Address
619 E MASON ST
SUITE 4P57
SPRINGFIELD, IL, 627011034
Browse IL providers · Browse ZIP 62701
Phone
2177880706
Fax
2175252535
Primary Specialty
Adult Health Nurse Practitioner
363LA2200X

Other Adult Health Nurse Practitioner Providers in SPRINGFIELD, IL

Name Credential NPI
PING ZHANG NP 1821191594
MRS. BRITTNEY A VEENSTRA ANP 1710085998
GAIL PETRO N. P. 1992928147
NANCY KEAN CHATHAM ANP-BC 1922249895
PATRICIA JEAN KLOS ANP-BC 1205068962
MS. DONNA FAYE DUNCAN ANP-BC 1043537491
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.