Jeremy Black

NPI 1457034191 · on the registry since 2023

Practice

Address: 6517 Cedar Bend Ct
Mobile, AL 36608
Phone: (801) 842-1517

Registry record

Primary taxonomy: Physician Assistant
363A00000X
Also registered as: Student in an Organized Health Care Education/Training Program
Licence states on file: OR
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2024-12-17

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 Alabama