TAMMY LYNN BLACK NPI 1326700642

NPI Information

NPI: 1326700642
Provider Name: TAMMY LYNN BLACK
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
200 BUIST AVE
GREENVILLE, SC
ZIP 29609
Phone: (864) 266-3364
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Tammy Lynn Black is a family nurse practitioner in Greenville, SC. Tammy Lynn Black NPI is 1326700642. 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:

200 BUIST AVE
GREENVILLE, SC
ZIP 29609-603
Phone: (864) 266-3364

The enumeration date for this NPI number is 10/13/2021 and was last updated on 10/13/2021.

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	163W00000X	Registered Nurse		80211	SOUTH CAROLINA	No
2	363LF0000X	Nurse Practitioner	Family	F10201504	SOUTH CAROLINA	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: 4/28/2024

NPI Synchronization or Removal

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