Mrs. Amy L Black
Nurse Practitioner - Primary Care Nurse Practitioner - Family Medicine
30381 Chieftain Dr
Logan
, Ohio 43138-9092
Mrs. Amy L Black
Nurse Practitioner - Primary Care Nurse Practitioner - Family Medicine
30381 Chieftain Dr
Logan
, Ohio 43138-9092
(740) 775-7855
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About
Features
Specialties
- Nurse Practitioner - Family Medicine
- Nurse Practitioner - Primary Care
Languages spoken
- English
Location
First Address
- Mrs. Amy L Black
- Po Box 188
- Chillicothe, OH
- Zip : 45601-0188
- Fax : (740) 775-7855
- Phone : (740) 773-4366
Second Address
- Mrs. Amy L Black
- 30381 Chieftain Dr
- Logan, OH
- Zip : 43138-9092
- Fax : (740) 380-3750
- Phone : (740) 385-2555
Reviews
FAQs
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Is Mrs. Amy L Black a sole practitioner?
Is Mrs. Amy L Black accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | RN275748- COA1 | OH |
| N | 363LP2300X | Nurse Practitioner - Primary Care | NP-11608 | OH |
National Provider Identifier
| NPI | 1033424148 |
|---|---|
| Provider Name | Mrs. Amy L Black |
| First Address | Chillicothe, OH 45601-0188 |
| Second Address | Logan, OH 43138-9092 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/08/2010 |
| Last Update Date | 04/11/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 3124318 | (05) | OH |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.