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Jessica Michelle Black, APRN
Family Nurse Practitioner in Owenton, Kentucky
NPI 1093253379

Jessica Michelle Black is a Family Nurse Practitioner based in Covington, KY and is specialized in Family. Jessica Michelle Black practices in Owenton, KY and has the professional credentials of APRN. The NPI Number for Jessica Michelle Black is 1093253379 and holds a License No. 3011086 (Kentucky).

The current practice location address for Jessica Michelle Black is 120 Progress Way, Owenton, KY and can be reached out via phone at 844-655-6100.

Location: 120 Progress Way, Owenton, KY, 41011-3313
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093253379
Provider Name
Jessica Michelle Black
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
120 Progress Way, Owenton, KY, 41011-3313
Phone Number
844-655-6100
Fax Number
Provider Enumeration Date
02/07/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3011086 01 KY KY LICENSE
institution
Provider Business Practice Location Address Details
Address
120 Progress Way
City
Owenton
State
Kentucky
Zip
40359-6032
Phone Number
844-655-6100
Fax Number
person
Provider Business Mailing Address Details
Address
120 Progress Way
City
Owenton
State
Kentucky
Zip
40359-6032
Phone Number
844-655-6100
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
3011086 (Kentucky)
Definition
Definition to come...
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