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

Jodi Black

Individual provider Licensed Vocational Nurse · NPI 1649771072

Jodi Black is a Licensed Vocational Nurse in Jefferson, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2018

Practice location Address checks out

120 N Walnut St
Jefferson, TX 75657-1934
Phone: (903) 665-6653
Show map & directions

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

Specialties & licences

Licensed Vocational Nurse (primary) Taxonomy 164X00000X · Licence 226279 (TX)

Record details

NPI number1649771072
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 21, 2018
Last updated in NPPESFebruary 21, 2018
Mailing address14710 State Highway 154 E, Diana, TX 75640-3801

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