IndividualActive
Jennifer Black, RN
NPI 1336740786 · Registered Nurse · Vinita, OK
Provider details
- NPI number
- 1336740786
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- License
- 107607 (OK)
Specialties & taxonomies
Nursing Service Providers
- Case Manager/Care Coordinator171M00000X
Other Service Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
24919 S 4420 Road
Vinita, OK 74301
Phone: (918) 256-9210
Fax: (918) 256-6356
Street-level locationGet directions
Mailing address
24919 S 4420 Road
Vinita, OK 74301
Registry dates
- Enumerated
- 2020-11-03
- Last updated
- 2020-11-03
- Certified
- 2020-11-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.