Individual provider · Type 1 NPI

Amanda Moore Black, RN

Registered Nurse · Clarksville, TN

NPI number 1750230165 Active

Practice location

494 Palmyra Rd
Clarksville, TN 37040-7209

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X276127 (TN)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1750230165

Amanda Moore Black, RN's National Provider Identifier is 1750230165, issued on Jan 27, 2026. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Clarksville, TN. The record was last updated on Jan 27, 2026.