JENNIFER LEE BLACK APN
Individual Provider (NPI-1)
Active
Nurse Practitioner
Provider Information
- NPI Number
1689172769- Provider Type
- Individual Provider (NPI-1)
- Credentials
- APN
- Status
- Active
Contact & Location
- Address
- 500 OSIGIAN BLVD STE 300, WARNER ROBINS, GA, 310888008
- Phone
- (478) 971-1099
- Fax
- (478) 971-1098
Specialties & Taxonomies
Nurse Practitioner
Primary License: GA #RN089820