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Eva Marie Black, APRN-C
Family Nurse Practitioner in York, Alabama
NPI 1134765886

Eva Marie Black is a Family Nurse Practitioner based in Carrollton, AL and is specialized in Family. Eva Marie Black practices in York, AL and has the professional credentials of APRN-C. The NPI Number for Eva Marie Black is 1134765886 and holds a License No. 901756 (Alabama).

The current practice location address for Eva Marie Black is 415 Derby Dr, York, AL and can be reached out via phone at 205-392-9656.

Location: 415 Derby Dr, York, AL, 35447-2351
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134765886
Provider Name
Eva Marie Black
Credential
APRN-C
Provider Entity Type
Individual
Gender
Female
Address
415 Derby Dr, York, AL, 35447-2351
Phone Number
205-392-9656
Fax Number
Provider Enumeration Date
11/18/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1-168015 01 AL ALABAMA LICENSE
27493 01 TN TN LICENSE
institution
Provider Business Practice Location Address Details
Address
415 Derby Dr
City
York
State
Alabama
Zip
36925-2117
Phone Number
205-392-9656
Fax Number
person
Provider Business Mailing Address Details
Address
415 Derby Dr
City
York
State
Alabama
Zip
36925-2117
Phone Number
205-392-9656
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
901756 (Mississippi)
Definition
Definition to come...
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