JODI BLACK

Licensed Vocational Nurse

Active Individual
NPI: 1649771072

Practice Address

120 N WALNUT ST
Jefferson, TX 75657

Phone: (903) 665-6653

Specialties

Specialty Code Primary License
Licensed Vocational Nurse 164X00000X Yes 226279 (TX)

Frequently Asked Questions

NPI 1649771072 is the National Provider Identifier for JODI BLACK, a Licensed Vocational Nurse provider located in Jefferson, TX. This NPI was enumerated on February 21, 2018.
JODI BLACK practices at 120 N WALNUT ST, Jefferson, TX 75657.

Quick Facts

NPI
1649771072
Type
Individual
Enumerated
Feb 21, 2018
Last Updated
Feb 21, 2018

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