Individual provider · Type 1 NPI

Carol Lynn Black, APRN-CNP

Family Nurse Practitioner · Coalgate, OK

NPI number 1013427129 Active

Practice location

107 E Post Ave
Coalgate, OK 74538-3004

Fax (580) 927-9876

Mailing address

610 E 24th St
Tishomingo, OK 73460-3245

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X67047 (OK)
Family Nurse Practitioner Primary 363LF0000XR0067047 (OK)

Family Nurse Practitioner: Definition to come...

4 other providers at this address

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About NPI 1013427129

Carol Lynn Black, APRN-CNP's National Provider Identifier is 1013427129, issued on Oct 3, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Coalgate, OK. The record was last updated on Dec 19, 2022.