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

Mr. Jessub W Black

Individual provider Case Manager/Care Coordinator · NPI 1083116958

Mr. Jessub W Black is a Case Manager/Care Coordinator in Old Washington, Ohio. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

239 A Old National Rd
Old Washington, OH 43768-0094
Phone: (740) 489-5571
Show map & directions

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

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1083116958
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 6, 2018
Last updated in NPPESApril 19, 2021
Certification dateApril 19, 2021

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