Jason L Black APRN-C

NPI 1306013305 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1306013305
Gender Male
Enumeration Date 05/09/2008
Last Updated 07/07/2014
Entity Type Individual
Active Over 8 years ago
Practice Location
1407 W BADDOUR PKWY
LEBANON TN, 37087-2513, US
Phone (615) 444-6203
Fax (615) 444-6252
Business Location
1407 W BADDOUR PKWY
LEBANON TN, 37087-2513, US
Phone (615) 444-6203
Fax (615) 444-6252
Toxanomy
Taxonomy Code 363LF0000X
License State Tennessee
License Number 12510
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According to our database, Mr. Jason L Black APRN-C NPI is 1306013305, taxonomy code is 363LF0000X and license number is 12510, license state is located at Tennessee. Jason L Black APRN-C physically located at 1407 W Baddour Pkwy, Lebanon TN, 37087-2513. NPI Number Jason L Black APRN-C has the Individual type.

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1306013305 NPI number is provided on an as is basis without warranty of any kind. 1306013305 is maintained by the National Plan & Provider Enumeration System. The contents of Jason L Black APRN-C are for informational purposes only.