Individual provider · Type 1 NPI

Timonthy Donell Black

Family Nurse Practitioner · Mount Airy, NC

NPI number 1992396022 Active

Practice location

113 Scenic Outlet Ln Ste 2
Mount Airy, NC 27030-9978

Call (336) 352-4900 Map

Fax (336) 352-4901

Mailing address

1132 Carter Mountain Rd
Stuart, VA 24171-3769

Other practice locations

  • 1132 Carter Mountain Rd, Stuart, VA 24171-3769 · (336) 345-6731

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Family Nurse Practitioner Primary 363LF0000X5014067 (NC)

Family Nurse Practitioner: Definition to come...

9 other providers at this address

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About NPI 1992396022

Timonthy Donell Black's National Provider Identifier is 1992396022, issued on Feb 1, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Mount Airy, NC. The record was last updated on May 16, 2024.