JENNIFER K BLACK

SPRINGFIELD, IL
NPI1174607576
Former NameJENNIFER K. LOWERS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: IL  209002373)
Additional Taxonomies207RI0011X Internal Medicine, Interventional Cardiology
(Licence: IL  209002373)
Enumeration Date2006-10-24
Last Update Date2021-12-20
Business Address
JENNIFER K BLACK N.P.
619 E MASON ST SUITE 4P57
SPRINGFIELD, IL 62701-1034
Phone number: 217-788-0706
Mailing Address
JENNIFER K BLACK N.P.
PO BOX 19420
SPRINGFIELD, IL 62794-9420
Phone number: 217-788-0706