Nurse Practitioner, Pediatrics
Ms. JORDAN BLACK CPNP-PC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1902496540 · enumerated 2021-01-18 · record updated 2023-07-10. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 13001 N OUTER 40 RD, TOWN AND COUNTRY, MO, 63017-5941 (314) 454-5437 Google Maps Apple Maps OpenStreetMap
- Mailing address 13001 N OUTER 40 RD, TOWN AND COUNTRY, MO, 63017-5941 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner, Pediatrics 363LP0200X · Primary · License 2020021017 MO
Published links
In this directory
MO St. Louis County Town And Country Nurse Practitioner, Pediatrics
Locations and evidence
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Practice location
TOWN AND COUNTRY, MO, 630175941
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.