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Amy Black
Gerontology Nurse Practitioner in Chunchula, Alabama
NPI 1780239160

Amy Black is a Gerontology Nurse Practitioner based in Chunchula, AL and is specialized in Gerontology. Amy Black practices in Chunchula, AL. The NPI Number for Amy Black is 1780239160 and holds a License No. 1-071140 (Alabama).

The current practice location address for Amy Black is 10420 Reva Rd N, Chunchula, AL and can be reached out via phone at 251-490-5884.

Location: 10420 Reva Rd N, Chunchula, AL, 36521-3330
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780239160
Provider Name
Amy Black
Credential
Provider Entity Type
Individual
Gender
Female
Address
10420 Reva Rd N, Chunchula, AL, 36521-3330
Phone Number
251-490-5884
Fax Number
Provider Enumeration Date
08/02/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
10420 Reva Rd N
City
Chunchula
State
Alabama
Zip
36521-3330
Phone Number
251-490-5884
Fax Number
person
Provider Business Mailing Address Details
Address
10420 Reva Rd N
City
Chunchula
State
Alabama
Zip
36521-3330
Phone Number
251-490-5884
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
363LG0600X
License No.
1-071140 (Alabama)
Definition
Definition to come...
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