JACKIE EVANS BLACK (RN) – Community Health Registered Nurse, NPI 1629144308
Community Health Registered Nurse
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Profile Insights
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Provider Addresses for JACKIE EVANS BLACK (RN)
South University Avenue, East Bay, Provo, Utah County, Utah, 84606, United States
PROVO, UT 846014427
Phone: (801) 851-7026
Fax: (801) 343-8725
Type: Location
265, E 200 S, Salem, Black Creek Township, Adams County, Indiana, 46772, United States
SALEM, UT 846539452
Phone: (801) 423-2373
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 84601)
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