Search › Georgia › 363LF0000X
Jennifer Black, NP-C
NPI 1508441239 · on the registry since 2021
Practice
- Address
- 989 Lawrenceville Hwy
Lawrenceville, GA 30046 - Phone
- (770) 962-1616
- Clinicians at this address
- 6
Additional practice sites
- 5271 Lawrenceville Hwy Nw Ste A, Lilburn, GA
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-03-15
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 Georgia