Individual provider · Type 1 NPI

Sonji Black

Registered Nurse · Raytown, MO

NPI number 1053221986 Active

Practice location

11503 E 63rd St
Raytown, MO 64133-5431

Mailing address

PO Box 18233
Raytown, MO 64133-8233

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X2018025055 (MO)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1053221986

Sonji Black's National Provider Identifier is 1053221986, issued on Sep 11, 2026. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Raytown, MO. The record was last updated on Sep 12, 2026.