1629144308 Jackie Evans Black, RN
Community Health Registered Nurse
Active
Basic Information
- Full Name
- Jackie Evans Black, RN
- Gender
- Female
- Enumeration Date
- November 27, 2006
- Last Update
- July 9, 2007
Practice Location
- Address
- 151 S UNIVERSITY AVE # 1900
PROVO, UT 846014427 - Phone
- (801) 851-7026
- Fax
- (801) 343-8725
Mailing Address
- Address
- 265 E 200 S
SALEM, UT 846539452 - Phone
- (801) 423-2373
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Community Health Registered Nurse Community Health | 163WC1500X | Registered Nurse | 218040-3102 | UT | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 998877660009 | 05 | UT | N/A |
| QM0000039389 | 01 | UT | ALTIUS PROVIDER# |
| 55102 | 01 | UT | PEHP PROVIDER # |
| 103003506102 | 01 | UT | SELECT HEALTH PROVIDER # |
| PR00489 | 05 | UT | N/A |
| 73-00012 | 01 | UT | UNITED HEALTHCARE ID# |
Frequently Asked Questions
What is Jackie Evans Black, RN's NPI number?
Jackie Evans Black, RN's NPI number is 1629144308.
Which doctor has NPI number 1629144308?
The doctor with NPI number 1629144308 is Jackie Evans Black, RN.
What is Jackie Evans Black, RN's practice address?
Jackie Evans Black, RN's practice address is 151 S UNIVERSITY AVE # 1900, PROVO, UT, 846014427.
Which doctor practices at 151 S UNIVERSITY AVE # 1900, PROVO, UT, 846014427?
Jackie Evans Black, RN practices at 151 S UNIVERSITY AVE # 1900, PROVO, UT, 846014427.
What is Jackie Evans Black, RN's mailing address?
Jackie Evans Black, RN's mailing address is 265 E 200 S, SALEM, UT, 846539452.
What is Jackie Evans Black, RN's phone number?
Jackie Evans Black, RN's phone number is (801) 851-7026.
Who is (801) 851-7026?
(801) 851-7026 is the phone number for Jackie Evans Black, RN.
What is Jackie Evans Black, RN's specialty?
Jackie Evans Black, RN's specialty is Community Health Registered Nurse.
What type of doctor is Jackie Evans Black, RN?
Jackie Evans Black, RN is a Community Health Registered Nurse.
Is Jackie Evans Black, RN a Community Health?
Yes, Jackie Evans Black, RN is a Community Health.
Is Jackie Evans Black, RN still practicing?
Yes, Jackie Evans Black, RN is currently practicing.
Is Jackie Evans Black, RN accepting new patients?
Jackie Evans Black, RN may be accepting new patients. Please call their office at (801) 851-7026 to inquire about availability.
Is NPI 1629144308 still active?
Yes, NPI 1629144308 is currently active.
Where does Jackie Evans Black, RN practice?
Jackie Evans Black, RN practices in PROVO, UT.
Is Jackie Evans Black, RN a male or female doctor?
Jackie Evans Black, RN is a female doctor.