Amy Black

NPI #1780239160 in Chunchula, Alabama

Provider Information

NPI Number
1780239160
Entity Type
Individual
Name
Amy Black
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Practitioner - Gerontology
Enumeration Date
Aug 2, 2019
Last Updated
Aug 2, 2019

Practice Location

Address
10420 REVA RD N
State
Alabama
ZIP Code
36521-3330
Phone
(251) 490-5884

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - GerontologyGerontology

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