Jason L Black is a Family in Lebanon, Tennessee. Jason L Black practices all healthcare services and medical treatments related to Family. The NPI Number for Jason L Black is 1306013305. The last update date is 2020-06-11.
Jason L Black's current location address is 1407 W Baddour Pkwy, Lebanon, Tennessee. You can contact this provider via phone number 6154446203 and fax number 6154446252. The mailing address for Jason L Black is 1407 W Baddour Pkwy, Lebanon, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jason L Black |
|---|---|
| Address | 1407 W Baddour Pkwy, Lebanon, Tennessee |
| Phone Number | 6154446203 |
| Fax Number | 6154446252 |
| Sole Proprietor | N |
| Credentials | APRN-C |
NPI Number Detail
| NPI Number | 1306013305 |
|---|---|
| Provider Enumeration Date | 2008-05-09 |
| Last Updated Date | 2020-06-11 |
Provider Mailing Address Detail
| Address | 1407 W Baddour Pkwy |
|---|---|
| City | Lebanon |
| State | Tennessee (TN) |
| Post Code | 370872513 |
| Phone Number | 6154446203 |
| Fax Number | 6154446252 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | AP145757 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1524683 | TN | -- | |
| 270851352 | TN | AETNA | |
| 4298132 | TN | BCBS | |
| 1671330 | TN | CIGNA | |
| 141492 | TN | TN REGISTERED NURSE | |
| 3323078 | TN | UHC | |
| 12242516 | TN | CAQH | |
| 62-1792161 | TN | TRICARE | |
| 12510 | TN | ADVANCED PRACTICE NURSE NUMBER |
Post Comment/ Review Below
What is the unique provider identifier assigned to Jason L Black?
The Jason L Black has been issued the NPI (National Provider Identifier) 1306013305 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Jason L Black is geographically located?
The Jason L Black is physically situated at the following location: 1407 W Baddour Pkwy, Lebanon, TN, 370872513.
What is the area of specialization for Jason L Black, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jason L Black is Family, and the corresponding taxonomy code that categorizes this area of expertise is 363Lf0000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1306013305 to Jason L Black?
The Centers for Medicare & Medicaid Services assigned the 1306013305 to Jason L Black on 2008-05-09.
When was the information pertaining to Jason L Black most recently updated or revised?
The details related to Jason L Black, including its address, specialty, and other relevant information, were last updated or revised on 2020-06-11.
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