Individual
ASHLEY BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
4400 BAYOU BLVD STE 20, PENSACOLA, FL 32503-1908
(850) 583-1342
Mailing address
10407 US HIGHWAY 31 APT 233, SPANISH FORT, AL 36527-7621
(251) 424-4327
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11032159
FL
Other
Enumeration date
04/08/2024
Last updated
04/08/2024
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