Individual provider · Type 1 NPI

Chelise Black, NP-C

Family Nurse Practitioner · Ogden, UT

NPI number 1952811515 Active

Practice location

4403 Harrison Blvd Ste 3630
Ogden, UT 84403-3287

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128

Other practice locations

  • 3590 W 9000 S Ste 240, West Jordan, UT 84088-8864 · (801) 964-3697

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X5645223-4405 (UT)

Family Nurse Practitioner: Definition to come...

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About NPI 1952811515

Chelise Black, NP-C's National Provider Identifier is 1952811515, issued on Oct 9, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Ogden, UT. The record was last updated on Jun 5, 2026.