Black, Jordan

Black, Jordan is an individual health care provider with primary practice located at 13001 N Outer 40 Rd , Town And Country MO 63017-5941. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Black, Jordan can be contacted via phone (314) 454-5437.

Contact Information

Primary practice address
13001 N Outer 40 Rd Town And Country MO 63017-5941
Phone: (314) 454-5437
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 2020021017 Missouri

Profile Details

NPI number 1902496540
LBN Legal business name Black, Jordan
Credentials CPNP-PC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2021
Last updated Jul 10th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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