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ADRIANNE JEAN BLACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
(816) 855-1909
Mailing address
4908 HALSEY ST, SHAWNEE, KS 66216-2030
(913) 206-2383
(816) 855-1909

Taxonomy

Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
2013031759
MO

Other

Enumeration date
06/22/2013
Last updated
10/11/2017
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