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

Jenner Black

Individual provider Registered Nurse · NPI 1316518012

Jenner Black is a Registered Nurse in Erie, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2021

Practice location Address checks out

201 State St
Erie, PA 16550-0002
Phone: (814) 877-6000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence RN739888 (PA)

Record details

NPI number1316518012
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 5, 2021
Last updated in NPPESJuly 5, 2021
Certification dateJuly 5, 2021
Mailing address512 Raspberry St, Erie, PA 16507-1044

Other providers in Erie