Individual provider · Type 1 NPI
Tisari Black
Psychiatric/Mental Health Nurse Practitioner · Coral Springs, FL
NPI number
1508790163
Active
Practice location
845 NW 126th Dr
Coral Springs, FL 33071-4428
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | APRN11048198 (FL) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1508790163
Tisari Black's National Provider Identifier is 1508790163, issued on Jun 10, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Coral Springs, FL. The record was last updated on Jun 10, 2026.