JORDAN BLACK

TOWN AND COUNTRY, MO
NPI1902496540
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: MO  2020021017)
Enumeration Date2021-01-18
Last Update Date2023-07-10
Business Address
Ms. JORDAN BLACK CPNP-PC
13001 N OUTER 40 RD
TOWN AND COUNTRY, MO 63017-5941
Phone number: 314-454-5437
Mailing Address
Ms. JORDAN BLACK CPNP-PC
13001 N OUTER 40 RD
TOWN AND COUNTRY, MO 63017-5941
Phone number: