Black, Amy Elizabeth

Black, Amy Elizabeth is an individual health care provider with primary practice located at 44 Medical Park Blvd Ste A , Petersburg VA 23805-9351. She recently has 4 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Black, Amy Elizabeth can be contacted via phone (804) 324-4511.

Contact Information

Primary practice address
44 Medical Park Blvd Ste A Petersburg VA 23805-9351
Phone: (804) 324-4511
Fax: (804) 835-5103
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 0024165724 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 0024165724 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 0024165724 Virginia
Nursing Service Providers / Registered Nurse 163W00000X 0001177817 Virginia

Profile Details

NPI number 1902994106
LBN Legal business name Black, Amy Elizabeth
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2006
Last updated Jul 10th, 2024 - about 2 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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