Jodie Black, CRNP
Nurse Practitioner, Family in Audubon, New Jersey
1194227207- Practice location
- 100 Black Horse Pike, Audubon, NJ 08106-1950
- Phone
- 844-542-2273
- Fax
- —
- Last updated
- March 4, 2024
Jodie Black is a Nurse Practitioner, Family based in Audubon, NJ. Jodie Black practices in Audubon, NJ and has the professional credentials of CRNP. The NPI Number for Jodie Black is 1194227207 and holds a License No. SP018556 (PA). The current practice location address for Jodie Black is 100 Black Horse Pike, Audubon, NJ 08106-1950 and can be reached out via phone at 844-542-2273.
Provider Profile Details
- NPI Number
- 1194227207
- Provider Name
- Jodie Black
- Credential
- CRNP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 100 Black Horse Pike, Audubon, NJ 08106-1950
- Phone Number
- 844-542-2273
- Primary Taxonomy
- Nurse Practitioner, Family · 363LF0000X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 5, 2018
- Last Update Date
- March 4, 2024
- Certification Date
- March 4, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 100 Black Horse Pike
Audubon, NJ 08106-1950 - City
- Audubon
- State
- New Jersey
- Zip
- 08106-1950
- Phone Number
- 844-542-2273
Provider Business Mailing Address Details
- Address
- 100 Black Horse Pike
Audubon, NJ 08106-1950 - City
- Audubon
- State
- NJ
- Zip
- 08106-1950
- Phone Number
- 844-542-2273
License Information
- License Number (1)
- SP018556
- License State (1)
- PA
- Taxonomy (1)
- Family Medicine · 207Q00000X
- License Number (2)
- 26NJ00805900
- License State (2)
- NJ
- Taxonomy (2)
- Nurse Practitioner, Family · 363LF0000X · Primary
- License Number (3)
- 26NJ00805900
- License State (3)
- NJ
- Taxonomy (3)
- Family Medicine · 207Q00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Jodie Black, CRNP?
The NPI number of Jodie Black, CRNP is 1194227207. It was assigned on March 5, 2018 and is currently active in the NPPES registry.
What is the specialty of Jodie Black, CRNP?
Jodie Black, CRNP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in PA under license number SP018556.
Where does Jodie Black, CRNP practice?
The practice location is 100 Black Horse Pike, Audubon, NJ 08106-1950. The office can be reached at 844-542-2273 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1194227207 directly on the NPPES registry website.