Individual provider · Type 1 NPI

Kisha Renee Black, APRN

Family Nurse Practitioner · Jacksonville, FL

NPI number 1760182893 Active

Practice location

3625 University Blvd. S.
Jacksonville, FL 32216

Call (904) 702-6089 Map

Mailing address

3612 Double Blanch Lane
Orange Park, FL 32073

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XAPRN11023957 (FL)

Family Nurse Practitioner: Definition to come...

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About NPI 1760182893

Kisha Renee Black, APRN's National Provider Identifier is 1760182893, issued on Mar 7, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Jacksonville, FL. The record was last updated on Mar 7, 2023.