Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. JORDAN BLACK, CPNP-PC
ActiveMS. JORDAN BLACK, CPNP-PC is a Pediatric Nurse Practitioner healthcare provider located in TOWN AND COUNTRY, Missouri. NPI 1902496540 is currently active in the NPPES registry. Verify at CMS.
Pediatric Nurse Practitioner · TOWN AND COUNTRY, MO
Registration Details
- NPI Number
- 1902496540
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 18, 2021 (5.3823967769594 yrs)
- Last Updated
- Jul 10, 2023
- License
-
2020021017 (MO)
Practice Information
- Address
-
13001 N OUTER 40 RDTOWN AND COUNTRY, MO, 630175941Browse MO providers · Browse ZIP 63017
- Phone
- 3144545437
- Primary Specialty
-
Pediatric Nurse Practitioner
363LP0200X
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.