person
Chelise Black, NP-C
Family Nurse Practitioner in West Jordan, Utah
NPI 1952811515

Chelise Black is a Family Nurse Practitioner based in West Jordan, UT and is specialized in Family. Chelise Black practices in West Jordan, UT and has the professional credentials of NP-C. The NPI Number for Chelise Black is 1952811515 and holds a License No. 5645223-4405 (Utah).

The current practice location address for Chelise Black is 3590 W 9000 S Ste 240, West Jordan, UT and can be reached out via phone at 801-964-3697.

Location: 3590 W 9000 S Ste 240, West Jordan, UT, 84088-8864
person
Provider Profile Details
NPI Number
1952811515
Provider Name
Chelise Black
Credential
NP-C
Provider Entity Type
Individual
Gender
Female
Address
3590 W 9000 S Ste 240, West Jordan, UT, 84088-8864
Phone Number
801-964-3697
Fax Number
Provider Enumeration Date
10/09/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3590 W 9000 S Ste 240
City
State
Zip
84088-8864
Phone Number
801-964-3697
Fax Number
person
Provider Business Mailing Address Details
Address
3590 W 9000 S Ste 240
City
State
Zip
84088-8864
Phone Number
801-964-3697
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
5645223-4405 (Utah)
Definition
Definition to come...
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