SJ BLACK ENTERPRISES INC. NPI 1326400185

NPI Information

NPI: 1326400185
Provider Name: SJ BLACK ENTERPRISES INC.
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
298 JEFFERY LN
CABOT, AR
ZIP 72023
Phone: (501) 413-8498
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SJ BLACK ENTERPRISES INC. is a family nurse practitioner in Cabot, AR. SJ BLACK ENTERPRISES INC. NPI is 1326400185. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

298 JEFFERY LN
CABOT, AR
ZIP 72023-576
Phone: (501) 413-8498

The provider's authorized official is Sherry Black .
The authorized official title is President and has the following contact phone number (501) 413-8498.

The enumeration date for this NPI number is 3/22/2016 and was last updated on 3/22/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	A001200	ARKANSAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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