Jennifer Lee Black, APN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN089820 Issued in GA

Practice address

500 Osigian Blvd Ste 300
Warner Robins, GA 31088-8008

Phone

(478) 971-1099

Fax

(478) 971-1098

NPI assigned

Jan 24, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Homestead Hospice of Central Georgia, LLC

  • Clinic/Center
  • Warner Robins, GA
  • NPI 1295473627
  NPD
• Homestead Hospice of Central Georgia, LLC

  • Community Based Hospice Care Agency
  • Warner Robins, GA
  • NPI 1598191454
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1516752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1689172769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 OSIGIAN BLVD STE 300",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310888008",
            "telephone_number": "478-971-1099",
            "fax_number": "478-971-1098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 OSIGIAN BLVD STE 300",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310888008",
            "telephone_number": "478-971-1099",
            "fax_number": "478-971-1098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "JENNIFER",
        "middle_name": "LEE",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-24",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN089820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Christina Biscan, NP-C
• Jocelyn Bishop
• Hussam Bitar, M.D.
• Elizabeth Ann Bizzell, LMFT
• Nicole P Bizzell, NP-C
• Sherrie Blackshear, LPN
• Ashbina Germaine Blaise
• Bless 1 Transport, LLC
• Kimberly T. Blevens, MD
• Blue Oasis Home Care Agency , LLC

• Nurse Practitioner in Warner Robins, GA
• Providers in Warner Robins, GA by specialty
• Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.