Dr JENNIFER LEIGH BLACK is a female medical professional, specializing in Nurse Practitioner. She graduated in 2016.
MEDICAL CLINIC P.C.
1219 MAIN ST
HAMBURG
IA
516401300
Tel: 7128222626
| Npi | 1710347943 |
| Pac Id | 5799083051 |
| Professional Enrollment Id | I20180118002133 |
| Last Name | BLACK |
| First Name | JENNIFER |
| Middle Name | LEIGH |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
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| Organization Legal Name | MEDICAL CLINIC P.C. |
| Group Practice Pac Id | 5395634216 |
| Number Of Group Practice Members | 5 |
| Line 1 Street Address | 1219 MAIN ST |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | HAMBURG |
| State | IA |
| Zip Code | 516401300 |
| Phone Number | 7128222626 |
| Hospital Affiliation Ccn 1 | 161324 |
| Hospital Affiliation Lbn 1 | GEORGE C GRAPE COMMUNITY HOSPITAL |
| Hospital Affiliation Ccn 2 | |
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| Professional Accepts Medicare Assignment | Y |
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