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Jessica Black
NPI 1316688054 · on the registry since 2022
Practice
- Address
- 775 E Eliza St
Kenton, OH 43326 - Phone
- (419) 679-1219
- Clinicians at this address
- 31
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-04-05
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 Ohio