person
Autumn Black
Family Nurse Practitioner in Louisville, Kentucky
NPI 1376137414

Autumn Black is a Family Nurse Practitioner based in Sparks, KY and is specialized in Family. Autumn Black practices in Louisville, KY. The NPI Number for Autumn Black is 1376137414 and holds a License No. 3014903 (Kentucky).

The current practice location address for Autumn Black is 2100 Millvale Rd, Louisville, KY and can be reached out via phone at 443-383-9300.

Location: 2100 Millvale Rd, Louisville, KY, 21152-9477
person
Provider Profile Details
NPI Number
1376137414
Provider Name
Autumn Black
Credential
Provider Entity Type
Individual
Gender
Female
Address
2100 Millvale Rd, Louisville, KY, 21152-9477
Phone Number
443-383-9300
Fax Number
Provider Enumeration Date
03/01/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2100 Millvale Rd
City
State
Zip
40205-1604
Phone Number
443-383-9300
Fax Number
person
Provider Business Mailing Address Details
Address
2100 Millvale Rd
City
State
Zip
40205-1604
Phone Number
443-383-9300
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
3014903 (Kentucky)
Definition
Definition to come...
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