Individual provider · Type 1 NPI

Autumn Black

Family Nurse Practitioner · Louisville, KY

NPI number 1376137414 Active

Practice location

2100 Millvale Rd
Louisville, KY 40205-1604

Mailing address

909 Ridgebrook Rd Ste 300
Sparks, MD 21152-9477

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X3014903 (KY)

Family Nurse Practitioner: Definition to come...

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About NPI 1376137414

Autumn Black's National Provider Identifier is 1376137414, issued on Mar 1, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Louisville, KY. The record was last updated on Nov 17, 2022.