Organization
MOUNTAIN SPRINGS FAMILY PRACTICE LLC
Active
Other names
Mountain Spring Family Practice LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JEAN MARIE BLACK FNP (FAMILY NURSE PRACTITIONER MEMBER)
(540) 929-9095
Entity
Organization
Contact information
Practice address
9104 FLOYD HWY N, COPPER HILL, VA 24079-2114
(540) 929-9095
(540) 929-9003
Mailing address
9104 FLOYD HWY N, COPPER HILL, VA 24079-2114
(540) 929-9095
(540) 929-9003
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/24/2006
Last updated
09/11/2025
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