Black, Janice D

Black, Janice D is an individual health care provider with primary practice located at 154 Saluda Pointe Dr , Lexington SC 29072-7295. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Black, Janice D can be contacted via phone (803) 785-3590.

Contact Information

Primary practice address
154 Saluda Pointe Dr Lexington SC 29072-7295
Phone: (803) 785-3590
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN 619 South Carolina

Profile Details

NPI number 1740495688
LBN Legal business name Black, Janice D
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 2007
Last updated Jun 14th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740495688 NPPES
South Carolina Other 619 APN.RX
South Carolina Other 45834 APN.RX

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