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MS. JEAN MARIE BLACK N.P. NPI 1417938416


NPI Information

NPI: 1417938416
Provider Name: MS. JEAN MARIE BLACK, N.P.
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
140 CHRISTIANSBURG PIKE
FLOYD, VA
ZIP 24091
Phone: (540) 745-9290
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MS. Jean Marie Black, N.P. is a family nurse practitioner in Floyd, VA. MS. Jean Marie Black, N.P. NPI is 1417938416. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

140 CHRISTIANSBURG PIKE
FLOYD, VA
ZIP 24091-742
Phone: (540) 745-9290
Fax: (540) 745-9294

The enumeration date for this NPI number is 11/8/2005 and was last updated on 5/3/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily0024101703VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11194908491MEDICAIDVIRGINIA
2S49224MEDICARE UPINVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.