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Contact Information

JANA BLACK, RN
543 GLENWOOD CIR
RIGBY, ID83442-1429
 Phone: 208-681-8572
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for JANA BLACK · (Female)

NPI # 1235067489
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 05/09/2026
Last updated 05/14/2026 - About 3 weeks ago
Sole proprietor 1 No
Identifiers
  • ID License # 42689
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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