person
Carrie June Black, ARNP
Family Nurse Practitioner in Madisonville, Kentucky
NPI 1821195447

Carrie June Black is a Family Nurse Practitioner based in Madisonville, KY and is specialized in Family. Carrie June Black practices in Madisonville, KY and has the professional credentials of ARNP. The NPI Number for Carrie June Black is 1821195447 and holds a License No. 3002209 (Kentucky).

The current practice location address for Carrie June Black is 1756 E Center St, Madisonville, KY and can be reached out via phone at 270-821-3300 and via fax at 270-821-2100.

Location: 1756 E Center St, Madisonville, KY, 42431-1661
person
Provider Profile Details
NPI Number
1821195447
Provider Name
Carrie June Black
Credential
ARNP
Provider Entity Type
Individual
Gender
Female
Address
1756 E Center St, Madisonville, KY, 42431-1661
Phone Number
270-821-3300
Fax Number
270-821-2100
Provider Enumeration Date
09/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2209P 01 KY LICENSE
000000044303 01 BCBS PROVIDER NUMBER
78001153 05 KY
P00943823 01 KY RAILROAD MEDICARE- WALMART MADISONVILLE
institution
Provider Business Practice Location Address Details
Address
1756 E Center St
City
State
Zip
42431-2253
Phone Number
270-821-3300
Fax Number
270-821-2100
person
Provider Business Mailing Address Details
Address
1756 E Center St
City
State
Zip
42431-2253
Phone Number
270-821-3300
Fax Number
270-821-2100
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
3002209 (Kentucky)
Definition
Definition to come...
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