JENNIFER KELLY BLACK Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041506508

License Status

ACTIVE

Business

First Name

JENNIFER

Middle

KELLY

Last Name

BLACK

Business Name

JENNIFER KELLY BLACK

Original Issue Date

03/04/2021

Effective Date

03/07/2024

Expiration Date

05/31/2026

City

SAINT AUGUSTINE

State

Zip

32084

Ever Disciplined

LastModifiedDate

03/01/2026