Individual provider · Type 1 NPI
Tammy Lynn Black, FNP-C
Family Nurse Practitioner · Erie, PA
NPI number
1639701428
Active
Practice location
2323 Edinboro Rd
Erie, PA 16509-3476
Mailing address
PO Box 249
Wattsburg, PA 16442-0249
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | SP021502 (PA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1639701428
Tammy Lynn Black, FNP-C's National Provider Identifier is 1639701428, issued on Feb 10, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Erie, PA. The record was last updated on Feb 10, 2020.