MAKENNA BLACK NPI 1215790274

NPI Information

  • NPI: 1215790274
  • Provider Name: MAKENNA BLACK
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • Address: 1930 ALCOA HWY STE 145
    KNOXVILLE, TN
    ZIP 37920
  • Phone: (865) 305-9749

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NPI Details

Makenna Black is a pediatrics nurse practitioner in Knoxville, TN. Makenna Black NPI is 1215790274. 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:

1930 ALCOA HWY STE 145
KNOXVILLE, TN
ZIP 37920-546
Phone: (865) 305-9749

The enumeration date for this NPI number is 2/2/2024 and was last updated on 2/2/2024.

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
1363LP0200XNurse PractitionerPediatrics35631TENNESSEEYes

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

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