Jordan Black
Jordan Black is a Pediatric Nurse Practitioner in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2024.
- Licensed in
- PA
- In the registry since
- 2024
Practice location Address checks out
3401 Civic Center BlvdPhiladelphia, PA 19104-4319
Phone: (215) 590-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Nurse Practitioner (primary) | Taxonomy 363LP0200X · Licence SP029881 (PA) |
|---|
Record details
| NPI number | 1528886231 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | October 1, 2024 |
| Last updated in NPPES | October 1, 2024 |
| Certification date | October 1, 2024 |
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