Individual
MRS. CHERYL C BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-BC
Contact information
Practice address
715 RUGBY HWY, ROBBINS, TN 37852-3755
(423) 627-2782
(423) 627-2188
Mailing address
470 INDUSTRIAL LN, ONEIDA, TN 37841-6294
(423) 286-4141
(423) 286-4145
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN13431
TN
363LF0000X
Family Nurse Practitioner
13431
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13431
APRN LICENSE
TN
05
—
1513674
—
TN
01
—
RN0000111356
RN LICENSE
TN
Enumeration date
04/25/2008
Last updated
11/27/2013
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