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Individual

NATALIE DEBORAH BLACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
11714 LANIER CREEK DR, JACKSONVILLE, FL 32258-1265
(619) 718-2410
Mailing address
11714 LANIER CREEK DR, JACKSONVILLE, FL 32258-1265
(619) 718-2410

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11036681
FL

Other

Enumeration date
12/17/2024
Last updated
12/17/2024
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