Black, Amy Jacqueline

Black, Amy Jacqueline is an individual health care provider with primary practice located at 16525 Holly Crest Ln Ste 210 , Huntersville NC 28078-4909. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Black, Amy Jacqueline can be contacted via phone (704) 316-7760.

Contact Information

Primary practice address
16525 Holly Crest Ln Ste 210 Huntersville NC 28078-4909
Phone: (704) 316-7760
Fax: (704) 316-7761
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 5010060 North Carolina

Profile Details

NPI number 1588829386
LBN Legal business name Black, Amy Jacqueline
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2008
Last updated Oct 25th, 2022 - about 2 years 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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