CRYSTAL BLACK NPI 1033906060

NPI Information

  • NPI: 1033906060
  • Provider Name: CRYSTAL BLACK
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 18877 JEB STUART HWY
    STUART, VA
    ZIP 24171
  • Phone: (276) 694-4466

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NPI Details

Crystal Black is a family nurse practitioner in Stuart, VA. Crystal Black NPI is 1033906060. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

18877 JEB STUART HWY
STUART, VA
ZIP 24171-223
Phone: (276) 694-4466

The enumeration date for this NPI number is 4/23/2025 and was last updated on 4/23/2025.

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
1363LF0000XNurse PractitionerFamily0001194346VIRGINIAYes

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: 11/21/2025

NPI Synchronization or Removal

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