JORDAN BLACK

PHILADELPHIA, PA
NPI1528886231
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: PA  SP029881)
Enumeration Date2024-10-01
Last Update Date2024-10-01
Business Address
JORDAN BLACK
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104-4319
Phone number: 215-590-1000
Mailing Address
JORDAN BLACK
4550 WILDE ST
PHILADELPHIA, PA 19127-1227
Phone number:
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