Mrs Cheryl C Black, APRN-BC | |
715 Rugby Hwy, Robbins, TN 37852-3755 | |
(423) 627-2782 | |
(423) 627-2188 |
Full Name | Mrs Cheryl C Black |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 715 Rugby Hwy, Robbins, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366617854 | NPI | - | NPPES |
13431 | Other | TN | APRN LICENSE |
RN0000111356 | Other | TN | RN LICENSE |
1513674 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 13431 (Tennessee) | Secondary |
363L00000X | Nurse Practitioner | APN13431 (Tennessee) | Primary |
Entity Name | Mountain Peoples Health Councils Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871594333 PECOS PAC ID: 7517945678 Enrollment ID: O20040713001525 |
Mailing Address | Practice Location Address |
---|---|
Mrs Cheryl C Black, APRN-BC 470 Industrial Ln, Oneida, TN 37841-6294 Ph: (423) 286-4141 | Mrs Cheryl C Black, APRN-BC 715 Rugby Hwy, Robbins, TN 37852-3755 Ph: (423) 627-2782 |
Regina Elizabeth Carson, MSN, RN, APRN, CEN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 715 Rugby Hwy, Robbins, TN 37852 Phone: 423-627-2782 | |
Ms. Sandra Coffey, F.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 715 Rugby Hwy, Robbins, TN 37852 Phone: 423-627-2782 Fax: 423-627-2188 |