person
Austin Harbor Black, FNP-BC
Family Nurse Practitioner in Mantachie, Mississippi
NPI 1245017052

Austin Harbor Black is a Family Nurse Practitioner based in Mantachie, MS and is specialized in Family. Austin Harbor Black practices in Mantachie, MS and has the professional credentials of FNP-BC. The NPI Number for Austin Harbor Black is 1245017052 and holds a License No. 906272 (Mississippi).

The current practice location address for Austin Harbor Black is 5681 Highway 363, Mantachie, MS and can be reached out via phone at 662-282-4226. You can also correspond with Austin Harbor Black through the mailing address at PO BOX 40, MANTACHIE, MS - 38855-0040 (mailing address contact number: 662-282-4226).

Location: 5681 Highway 363, Mantachie, MS, 38855-0040
person
Provider Profile Details
NPI Number
1245017052
Provider Name
Austin Harbor Black
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Male
Address
5681 Highway 363, Mantachie, MS, 38855-0040
Phone Number
662-282-4226
Fax Number
Provider Enumeration Date
09/13/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5681 Highway 363
City
State
Zip
38855-7632
Phone Number
662-282-4226
Fax Number
person
Provider Business Mailing Address Details
Address
5681 Highway 363
City
State
Zip
38855-7632
Phone Number
662-282-4226
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
906272 (Mississippi)
Definition
Definition to come...
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