Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
IVY BLACK, C-NP
ActiveIVY BLACK, C-NP is a Family Nurse Practitioner healthcare provider located in KENNESAW, Georgia. NPI 1104571462 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · KENNESAW, GA
Registration Details
- NPI Number
- 1104571462
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 15, 2022 (4.4773343757566 yrs)
- Last Updated
- Jun 12, 2025
- License
-
RN195496 (GA)
Practice Information
- Address
-
2782 COBB PKWY NWKENNESAW, GA, 301523472Browse GA providers · Browse ZIP 30152
- Phone
- 7064051195
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
Other Family Nurse Practitioner Providers in KENNESAW, GA
| Name | Credential | NPI |
|---|---|---|
| DEBRA K GODWIN | NP | 1780670786 |
| MARY O EJIFOMA | N.P. | 1356329411 |
| MRS. NANCY C MCROYAL | APRN, BC | 1316916141 |
| MS. STACEY LEVISON | FNP-C | 1033275946 |
| ANNE NICHOLS | NURSE PRACTITIONER | 1619180676 |
| LEAH K MIDDENDORF | NP-C | 1497957013 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.