Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jamie Black, NP

Individual provider Family Nurse Practitioner · NPI 1124624218

Jamie Black, NP is a Family Nurse Practitioner in Corona, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2020
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

4107 Adishian Way
Corona, CA 92883-0723
Phone: (949) 302-4106
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95016112 (CA)

Record details

NPI number1124624218
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedDecember 5, 2020
Last updated in NPPESDecember 5, 2020
Certification dateDecember 5, 2020
Mailing address4107 Adishian Way, Corona, CA 92883-0723

Other providers in Corona