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Ms. Jordan Black, CPNP-PC
Pediatric Nurse Practitioner in Town And Country, Missouri
NPI 1902496540

Jordan Black is a Pediatric Nurse Practitioner based in Town And Country, MO and is specialized in Pediatrics. Jordan Black practices in Town And Country, MO and has the professional credentials of CPNP-PC. The NPI Number for Jordan Black is 1902496540 and holds a License No. 2020021017 (Missouri).

The current practice location address for Jordan Black is 13001 N Outer 40 Rd, Town And Country, MO and can be reached out via phone at 314-454-5437.

Location: 13001 N Outer 40 Rd, Town And Country, MO, 63017-5941
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902496540
Provider Name
Jordan Black
Credential
CPNP-PC
Provider Entity Type
Individual
Gender
Female
Address
13001 N Outer 40 Rd, Town And Country, MO, 63017-5941
Phone Number
314-454-5437
Fax Number
Provider Enumeration Date
01/18/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
13001 N Outer 40 Rd
City
Town And Country
State
Missouri
Zip
63017-5941
Phone Number
314-454-5437
Fax Number
person
Provider Business Mailing Address Details
Address
13001 N Outer 40 Rd
City
Town And Country
State
Missouri
Zip
63017-5941
Phone Number
314-454-5437
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
2020021017 (Missouri)
Definition
Definition to come...
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