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

Mr. Jason L Black, APRN-C

Individual provider Family Nurse Practitioner · NPI 1306013305

Mr. Jason L Black, APRN-C is a Nurse Practitioner in Lebanon, Tennessee. Graduated from Vanderbilt University School of Medicine in 2006, 20 years ago. Practices with Family Medical PC, a 13-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Tennessee and Texas.

Years since qualifying
20
Trained at
Vanderbilt University School of Medicine
Licensed in
TN, TX
In the registry since
2008
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1407 W Baddour Pkwy
Lebanon, TN 37087-2513
Phone: (615) 444-6203
Fax: (615) 444-6252
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)

  • 1600 Us Highway 79 S, Henderson, TX 75654-4508 — (903) 717-3260

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 12510 (TN)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence AP145757 (TX)

Record details

NPI number1306013305
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN-C
Sole proprietorNo
NPI enumeratedMay 9, 2008
Last updated in NPPESJune 11, 2020
Certification dateJune 11, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolVANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduated 2006 (20 years in practice)
Group practice Family Medical Pc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Lebanon