JODI BLACK
NPI 1649771072
Licensed Vocational Nurse in Jefferson, TX

Q: What is Jodi Black's NPI number?

The NPI number for Jodi Black is 1649771072. It was assigned to this individual provider in the NPPES registry on February 21, 2018.

Q: What is Jodi Black's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

Q: When was this NPI record last updated?

The NPPES record for Jodi Black was last updated on February 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 21, 2018

120 N WALNUT ST, JEFFERSON, TX 75657(903) 665-6653 Get Directions Write a Review

NPPES record last updated: February 21, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jodi Black NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JODI BLACK (NPI 1649771072) is an individual licensed vocational nurse in Jefferson, Texas, licensed in Texas (226279) and active in the NPI registry since February 2018.

NPPES Registry Identity

NPI1649771072

Entity TypeIndividualFemale

Primary Taxonomy164X00000X

Provider Legal NameJODI BLACK

Location Address120 N WALNUT STJefferson, TX 75657-1934

Mailing Address14710 State Highway 154 EDiana, TX 75640-3801 · (903) 932-1871

Phone(903) 665-6653

Sole ProprietorYes

Enumeration DateFebruary 21, 2018

✔ NPI 1649771072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Vocational NurseNursing Service Providers

Taxonomy Code164X00000X

License✔ Licensed in TX · 226279

Definition

A licensed vocational nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.

120 N WALNUT ST, Jefferson, TX 75657

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHERRY JO LEE

Licensed Vocational Nurse