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

MS. Jordan Black, CPNP-PC

Individual provider Pediatric Nurse Practitioner · NPI 1902496540

MS. Jordan Black, CPNP-PC is a Pediatric Nurse Practitioner in Town and Country, Missouri. Works from 2 locations. Licensed in Missouri.

Licensed in
MO
In the registry since
2021

Practice location Address checks out

13001 N Outer 40 Rd
Town and Country, MO 63017-5941
Phone: (314) 454-5437
Show map & directions

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

Additional practice locations (1)

  • 1 Childrens Pl, Saint Louis, MO 63110-1002 — (314) 482-2323

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 2020021017 (MO)

Record details

NPI number1902496540
Entity typeIndividual (Type 1)
GenderFemale
Credentials CPNP-PC
Sole proprietorNo
NPI enumeratedJanuary 18, 2021
Last updated in NPPESJuly 10, 2023
Certification dateJuly 10, 2023