Individual
MRS. DJUANA GAIL BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1050 RUBY TYLER PKWY, TUSCALOOSA, AL 35404-2958
(205) 759-7246
(205) 759-7348
Mailing address
1050 RUBY TYLER PKWY, TUSCALOOSA, AL 35404-2958
(205) 759-7246
(205) 759-7348
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-069323
AL
Other
Enumeration date
08/17/2010
Last updated
08/17/2010
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