Individual provider · Type 1 NPI
Jordan Black, CPNP-PC
Pediatric Nurse Practitioner · Town And Country, MO
NPI number
1902496540
Active
Practice location
13001 N Outer 40 Rd
Town And Country, MO 63017-5941
Other practice locations
- 1 Childrens Pl, St. Louis, MO 63110-1002 · (314) 482-2323
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 2020021017 (MO) |
Pediatric Nurse Practitioner: Definition to come...
20 other providers at this address
- ST Louis Childrens HospitalCommunity/Retail Pharmacy Town And Country, MO NPI 1629464847
- Washington UniversityDurable Medical Equipment & Medical Supplies Town And Country, MO NPI 1548630825
- Wuca-Kids Docs, LLCMulti-Specialty Clinic/Center Chesterfield, MO NPI 1750741526
- Anne Elizabeth Weissler, PAPhysician Assistant Chesterfield, MO NPI 1407157837
- Courtney Freese Andrus, PAPhysician Assistant Chesterfield, MO NPI 1821434176
- Emily Michelle Rhodes, PNPPediatric Nurse Practitioner Chesterfield, MO NPI 1235640012
- Jaimie Marie Mains, PT, DPTPhysical Therapist Town And Country, MO NPI 1891104998
- Janet G. Mueller, MDPediatrics Physician Chesterfield, MO NPI 1083601819
- John Charles Cole, MDPediatrics Physician Chesterfield, MO NPI 1861564973
- Jordan Elizabeth Azinger, PAPhysician Assistant Chesterfield, MO NPI 1740710003
- Kristie Marie Taggart, PNPCritical Care Pediatric Nurse Practitioner Chesterfield, MO NPI 1700155793
- Kristine G. Williams, MDPediatrics Physician Chesterfield, MO NPI 1265458582
About NPI 1902496540
Jordan Black, CPNP-PC's National Provider Identifier is 1902496540, issued on Jan 18, 2021. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Town And Country, MO. The record was last updated on Jul 10, 2023.