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Individual

TEMPESTT BLACK

Active
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Individual

TEMPESTT BLACK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP, RN

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
22703430
NY
163W00000X
Registered Nurse
61491766
WA
163W00000X
Registered Nurse
RN2385688
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
403386
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP61498452
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
RN2385688
MA

Other

Enumeration date
09/20/2016
Last updated
10/16/2026
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