Individual
MARY ELIZABETH BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, NP-C
Contact information
Practice address
175 VOLUNTEER PKWY, CLINTON, AR 72031-8001
(501) 745-3388
(501) 745-3006
Mailing address
175 VOLUNTEER PKWY, CLINTON, AR 72031-8001
(501) 745-3388
(501) 745-3006
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A005463
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
231518758
—
AR
01
—
5DK30
BCBS
AR
Enumeration date
08/01/2018
Last updated
02/27/2026
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