Individual provider · Type 1 NPI

Christan Shadeene Black, AGNP-BC

Nurse Practitioner · Winston Salem, NC

NPI number 1285368423 Active

Practice location

2001 Todays Woman Ave
Winston Salem, NC 27105-5069

Fax (336) 722-1826

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice locations

  • 650 East Brooklyn Avenue, Charlotte, NC 28202 · (540) 676-0685

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner 363LG0600X2021103998 (NC)
Nurse Practitioner Primary 363L00000X5018146 (NC)

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 1285368423

Christan Shadeene Black, AGNP-BC's National Provider Identifier is 1285368423, issued on Jul 13, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Winston Salem, NC. The record was last updated on Jun 25, 2024.