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

Jennifer Black, NP-C

Individual provider Family Nurse Practitioner · NPI 1508441239

Jennifer Black, NP-C is a Nurse Practitioner in Lawrenceville, Georgia. Qualified in 2021, 5 years ago. Practices with Glenn R Parris, MD PC, a 5-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
5
Licensed in
GA
In the registry since
2021
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

989 Lawrenceville Hwy
Lawrenceville, GA 30046-4702
Phone: (770) 962-1616
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 5271 Lawrenceville Hwy Nw Ste A, Lilburn, GA 30047-5922 — (770) 962-1616

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN236581 (GA)

Record details

NPI number1508441239
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorNo
NPI enumeratedMarch 15, 2021
Last updated in NPPESMarch 15, 2021
Certification dateMarch 15, 2021
Mailing address3024 Abbotts Oak Way, Duluth, GA 30097-2190

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Glenn R Parris, Md Pc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Lawrenceville