Jennifer Leigh Black, APRN | |
711 S Vine St, Glenwood, IA 51534-1927 | |
(712) 525-1397 | |
Not Available |
Full Name | Jennifer Leigh Black |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 8 Years |
Location | 711 S Vine St, Glenwood, Iowa |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710347943 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | A149915 (Iowa) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Shenandoah Medical Center | Shenandoah, IA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Shenandoah Medical Center | 9436063237 | 35 |
Entity Name | Pine Ridge Indian Health Service Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003963497 PECOS PAC ID: 7214825371 Enrollment ID: O20040309001203 |
Mailing Address | Practice Location Address |
---|---|
Jennifer Leigh Black, APRN 1219 Main St, Hamburg, IA 51640-1300 Ph: (907) 631-4933 | Jennifer Leigh Black, APRN 711 S Vine St, Glenwood, IA 51534-1927 Ph: (712) 525-1397 |
Jennifer Van Meeteren, APRN-NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 320 Ebaugh St, Glenwood, IA 51534 Phone: 712-527-5204 Fax: 712-527-9346 | |
Jason A Krist, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 711 S Vine St, Glenwood Resource Center, State Of Iowa, Glenwood, IA 51534 Phone: 712-525-1855 | |
Amanda A. Smith, MSN, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 320 Ebaugh St, Glenwood, IA 51534 Phone: 712-527-5204 Fax: 712-527-9346 | |
Ms. Terena Mae Kring, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1203 S Locust St, Glenwood, IA 51534 Phone: 712-527-4100 |