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HomeProvidersAMY BLACK

Nurse Practitioner, Gerontology

AMY BLACK

Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.

Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.

Public record

NPI 1780239160 · enumerated 2019-08-02 · record updated 2019-08-02. Source: CMS NPPES. A listing is not a TRICARE network approval.

NPPES record Google Maps Apple Maps OpenStreetMap

Addresses and phones

Mailing address 10420 REVA RD N, CHUNCHULA, AL, 36521-3330 (251) 490-5884 Google Maps Apple Maps OpenStreetMap
Practice location 10420 REVA RD N, CHUNCHULA, AL, 36521-3330 (251) 490-5884 Google Maps Apple Maps OpenStreetMap

Specialties

Nurse Practitioner, Gerontology 363LG0600X · Primary · License 1-071140 AL

In this directory

AL Mobile County Chunchula Nurse Practitioner, Gerontology

Locations and evidence

Practice location CHUNCHULA, AL, 365213330
Accepting new patientsNot reportedCMS NPPES · September 30, 2026

Plan acceptance

No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.