Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amy Black

Individual provider Gerontology Nurse Practitioner · NPI 1780239160

Amy Black is a Gerontology Nurse Practitioner in Chunchula, Alabama. Practices as a sole proprietor. Licensed in Alabama.

Licensed in
AL
In the registry since
2019
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Practice location Address checks out

10420 Reva Rd N
Chunchula, AL 36521-3330
Phone: (251) 490-5884
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 1-071140 (AL)

Record details

NPI number1780239160
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 2, 2019
Last updated in NPPESAugust 2, 2019