Individual
SHERRY BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
4301 W MARKHAM ST # 783, LITTLE ROCK, AR 72205-7101
(501) 686-8000
(501) 526-5148
Mailing address
4301 W MARKHAM ST # 783, LITTLE ROCK, AR 72205-7101
(501) 686-8000
(501) 526-5148
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A010200
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133643758
—
AR
01
—
P00105533
MEDICARE RAILROAD
AR
Enumeration date
10/13/2006
Last updated
02/26/2008
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