Chelise Black, NP-C

NPI #1952811515 in West Jordan, Utah

Provider Information

NPI Number
1952811515
Entity Type
Individual
Name
Chelise Black, NP-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Credential
NP-C
Enumeration Date
Oct 9, 2017
Last Updated
Oct 9, 2017

Practice Location

Address
3590 W 9000 S STE 240
State
Utah
ZIP Code
84088-8864
Phone
(801) 964-3697

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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