Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AMY BLACK
Active Sole ProprietorAMY BLACK is a Gerontological Nurse Practitioner healthcare provider located in CHUNCHULA, Alabama. NPI 1780239160 is currently active in the NPPES registry. Verify at CMS.
Gerontological Nurse Practitioner · CHUNCHULA, AL
Registration Details
- NPI Number
- 1780239160
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 2, 2019 (6.8517766367495 yrs)
- Last Updated
- Aug 2, 2019
- License
-
1-071140 (AL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
10420 REVA RD NCHUNCHULA, AL, 365213330Browse AL providers · Browse ZIP 36521
- Phone
- 2514905884
- Primary Specialty
-
Gerontological Nurse Practitioner
363LG0600X
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.