Individual provider · Type 1 NPI

Casey R. Black, NP

Nurse Practitioner · Stockbridge, GA

NPI number 1003151028 Active

Practice location

125 Eagle Spring Dr
Stockbridge, GA 30281-6328

Fax (404) 962-6943

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XRN146749 (GA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1003151028

Casey R. Black, NP's National Provider Identifier is 1003151028, issued on Dec 3, 2012. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Stockbridge, GA. The record was last updated on May 10, 2017.