person
Mr. Jason L Black, APRN-C
Family Nurse Practitioner in Lebanon, Tennessee
NPI 1306013305

Jason L Black is a Family Nurse Practitioner based in Lebanon, TN and is specialized in Family. Jason L Black practices in Lebanon, TN and has the professional credentials of APRN-C. The NPI Number for Jason L Black is 1306013305 and holds a License No. AP145757 (Tennessee).

The current practice location address for Jason L Black is 1407 W Baddour Pkwy, Lebanon, TN and can be reached out via phone at 615-444-6203 and via fax at 615-444-6252. You can also correspond with Jason L Black through the mailing address at 1407 W BADDOUR PKWY, LEBANON, TN - 37087-2513 (mailing address contact number: 615-444-6203).

Location: 1407 W Baddour Pkwy, Lebanon, TN, 37087-2513
person
Provider Profile Details
NPI Number
1306013305
Provider Name
Jason L Black
Credential
APRN-C
Provider Entity Type
Individual
Gender
Male
Address
1407 W Baddour Pkwy, Lebanon, TN, 37087-2513
Phone Number
615-444-6203
Fax Number
615-444-6252
Provider Enumeration Date
05/09/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1524683 05 TN
270851352 01 TN AETNA
4298132 01 TN BCBS
1671330 01 TN CIGNA
141492 01 TN TN REGISTERED NURSE
3323078 01 TN UHC
12242516 01 TN CAQH
62-1792161 01 TN TRICARE
12510 01 TN ADVANCED PRACTICE NURSE NUMBER
institution
Provider Business Practice Location Address Details
Address
1407 W Baddour Pkwy
City
State
Zip
37087-2513
Phone Number
615-444-6203
Fax Number
615-444-6252
person
Provider Business Mailing Address Details
Address
1407 W Baddour Pkwy
City
State
Zip
37087-2513
Phone Number
615-444-6203
Fax Number
615-444-6252
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
AP145757 (Texas)
Definition
Definition to come...
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