Individual
SHAWNIECE BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7442 HENDRICKS ST, MERRILLVILLE, IN 46410-4452
(219) 381-9709
Mailing address
7442 HENDRICKS ST, MERRILLVILLE, IN 46410-4452
(219) 381-9709
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28250967A
IN
251E00000X
Home Health Agency
28250967A
IN
251J00000X
Nursing Care Agency
28250967A
IN
Other
Enumeration date
10/30/2020
Last updated
11/17/2024
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