Individual provider · Type 1 NPI

Jodi Black

Licensed Vocational Nurse · Jefferson, TX

NPI number 1649771072 Active

Practice location

120 N Walnut St
Jefferson, TX 75657-1934

Call (903) 665-6653 Map

Mailing address

14710 State Highway 154 E
Diana, TX 75640-3801

Specialties and licenses

Taxonomy	Code	License
Licensed Vocational Nurse Primary	164X00000X	226279 (TX)

Licensed Vocational Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job re…

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About NPI 1649771072

Jodi Black's National Provider Identifier is 1649771072, issued on Feb 21, 2018. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in Jefferson, TX. The record was last updated on Feb 21, 2018.