Individual
NICOLE MARIE BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
100 E 20TH ST, HOPE, AR 71801-8213
(870) 729-1911
(870) 729-1789
Mailing address
100 E 20TH ST, HOPE, AR 71801-8213
(870) 729-1911
(870) 729-1789
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
122367
AR
Other
Enumeration date
04/06/2021
Last updated
04/06/2021
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