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Search › New Jersey › Family Nurse Practitioner

Jodie Black, CRNP

NPI 1194227207 · on the registry since 2018

Practice

Address
100 Black Horse Pike
Audubon, NJ 08106
Phone
(844) 542-2273
Organisation at this address
Acme Markets Inc
Acme Markets Inc
Eckerd Corporation
Kennedy Medical Group Practice P.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Additional practice sites

  • 205 E Laurel Rd, Stratford, NJ
  • 200 Rowan Blvd, Glassboro, NJ

Registry record

Primary taxonomy
Family Nurse Practitioner
363LF0000X
Also registered as
Family Medicine Physician
Family Medicine Physician
Licence states on file
PA, NJ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-03-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey