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Alexandria Black
Nurse Practitioner in Spartanburg, South Carolina
NPI 1306403993

Alexandria Black is a Nurse Practitioner based in Atlanta, SC. Alexandria Black practices in Spartanburg, SC. The NPI Number for Alexandria Black is 1306403993 and holds a License No. 22567 (South Carolina).

The current practice location address for Alexandria Black is 101 E Wood St Ste 401, Spartanburg, SC and can be reached out via phone at 864-560-6654 and via fax at 864-560-7353.

Location: 101 E Wood St Ste 401, Spartanburg, SC, 30374-3070
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306403993
Provider Name
Alexandria Black
Credential
Provider Entity Type
Individual
Gender
Female
Address
101 E Wood St Ste 401, Spartanburg, SC, 30374-3070
Phone Number
864-560-6654
Fax Number
864-560-7353
Provider Enumeration Date
05/20/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NP6039 05 SC
SCF602J577 01 SC MEDICARE PIN
SCF6025019 01 SC MEDICARE PIN
SCF6029068 01 SC MEDICARE PIN
institution
Provider Business Practice Location Address Details
Address
101 E Wood St Ste 401
City
Spartanburg
State
South Carolina
Zip
29303-3040
Phone Number
864-560-6654
Fax Number
864-560-7353
person
Provider Business Mailing Address Details
Address
101 E Wood St Ste 401
City
Spartanburg
State
South Carolina
Zip
29303-3040
Phone Number
864-560-6654
Fax Number
864-560-7353
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
22567 (South Carolina)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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