Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSICA BLACK
Active Sole ProprietorJESSICA BLACK is a Podiatric Surgery healthcare provider located in HARLAN, Kentucky. NPI 1417580234 is currently active in the NPPES registry. Verify at CMS.
Podiatric Surgery · HARLAN, KY
Registration Details
- NPI Number
- 1417580234
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 20, 2020 (6.4932832149434 yrs)
- Last Updated
- Feb 20, 2020
- Sole Proprietor
- Yes
Practice Information
- Address
-
640 MAY STHARLAN, KY, 408311628Browse KY providers · Browse ZIP 40831
- Phone
- 6062738096
- Primary Specialty
-
Podiatric Surgery
3747A0650X
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.