Individual provider · Type 1 NPI
Lorraine Black, PMHNP
Psychiatric/Mental Health Nurse Practitioner · St. Petersburg, FL
NPI number
1104557412
Active
Practice location
7901 4th St N Ste 300
St. Petersburg, FL 33702-4399
Fax (850) 661-3888
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | APRN11020305 (FL) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1104557412
Lorraine Black, PMHNP's National Provider Identifier is 1104557412, issued on Jun 19, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in St. Petersburg, FL. The record was last updated on Jan 27, 2026.