Individual
SHARON SUE BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
777 W STATE ST, SUITE 201 LOWER LIGHTS CHRISTIAN HEALTH CENTER, COLUMBUS, OH 43222-1536
(614) 274-1455
(614) 274-2040
Mailing address
2300 SR 256, REYNOLDSBURG, OH 43068-8030
(614) 274-1455
(614) 274-2040
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
COA 11794
OH
Other
Enumeration date
09/24/2010
Last updated
03/01/2022
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