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Jamie Black, NP
Family Nurse Practitioner in Corona, California
NPI 1124624218

Jamie Black is a Family Nurse Practitioner based in Corona, CA and is specialized in Family. Jamie Black practices in Corona, CA and has the professional credentials of NP. The NPI Number for Jamie Black is 1124624218 and holds a License No. 95016112 (California).

The current practice location address for Jamie Black is 4107 Adishian Way, Corona, CA and can be reached out via phone at 949-302-4106.

Location: 4107 Adishian Way, Corona, CA, 92883-0723
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124624218
Provider Name
Jamie Black
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
4107 Adishian Way, Corona, CA, 92883-0723
Phone Number
949-302-4106
Fax Number
Provider Enumeration Date
12/05/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4107 Adishian Way
City
Corona
State
California
Zip
92883-0723
Phone Number
949-302-4106
Fax Number
person
Provider Business Mailing Address Details
Address
4107 Adishian Way
City
Corona
State
California
Zip
92883-0723
Phone Number
949-302-4106
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
95016112 (California)
Definition
Definition to come...
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