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
- City
- West Jordan
- State
- Utah
- ZIP Code
- 84088-8864
- Phone
- (801) 964-3697
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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