Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACKIE EVANS BLACK, RN
ActiveJACKIE EVANS BLACK, RN is a Community Health Nurse healthcare provider located in PROVO, Utah. NPI 1629144308 is currently active in the NPPES registry. Verify at CMS.
Community Health Nurse · PROVO, UT
Registration Details
- NPI Number
- 1629144308
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 27, 2006 (19.684659083773 yrs)
- Last Updated
- Jul 9, 2007
- License
-
218040-3102 (UT)
Practice Information
- Address
-
151 S UNIVERSITY AVE # 1900PROVO, UT, 846014427Browse UT providers · Browse ZIP 84601
- Phone
- 8018517026
- Fax
- 8013438725
- Primary Specialty
-
Community Health Nurse
163WC1500X
Other Community Health Nurse Providers in PROVO, UT
| Name | Credential | NPI |
|---|---|---|
| LYNN MEADOWS FLINDERS | RN | 1457447666 |
| MARLA J ADAMS | RN | 1659442267 |
| DIANE LISA COOPER | RN | 1861564080 |
| GRACE ALBERTA NIELSEN | RN | 1932272499 |
| ROSALYN S AVERETT | RN | 1659444867 |
| MARLA RAFF | RN | 1043385446 |
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.