Individual provider · Type 1 NPI
Amy Black
Gerontology Nurse Practitioner · Chunchula, AL
NPI number
1780239160
Active
Practice location
10420 Reva Rd N
Chunchula, AL 36521-3330
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 1-071140 (AL) |
Gerontology Nurse Practitioner: Definition to come...
About NPI 1780239160
Amy Black's National Provider Identifier is 1780239160, issued on Aug 2, 2019. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Chunchula, AL. The record was last updated on Aug 2, 2019.