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Jennifer K Black, NP
Adult Health Nurse Practitioner in Springfield, Illinois
NPI 1174607576

Jennifer K Black is an Adult Health Nurse Practitioner based in Springfield, IL and is specialized in Adult Health. Jennifer K Black practices in Springfield, IL and has the professional credentials of NP. The NPI Number for Jennifer K Black is 1174607576 and holds a License No. 209002373 (Illinois).

The current practice location address for Jennifer K Black is 619 E Mason St, Springfield, IL and can be reached out via phone at 217-788-0706 and via fax at 217-525-2535.

Location: 619 E Mason St, Springfield, IL, 62794-9420
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174607576
Provider Name
Jennifer K Black
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
619 E Mason St, Springfield, IL, 62794-9420
Phone Number
217-788-0706
Fax Number
217-525-2535
Provider Enumeration Date
10/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
596500 01 IL RAILROAD
institution
Provider Business Practice Location Address Details
Address
619 E Mason St
City
Springfield
State
Illinois
Zip
62701-1034
Phone Number
217-788-0706
Fax Number
217-525-2535
person
Provider Business Mailing Address Details
Address
619 E Mason St
City
Springfield
State
Illinois
Zip
62701-1034
Phone Number
217-788-0706
Fax Number
217-525-2535
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Interventional Cardiology
Taxonomy
207RI0011X
License No.
209002373 (Illinois)
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
209002373 (Illinois)
Definition
Definition to come...
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