Lookup NPI Numbers from the NPI Registry
NPI Profile for SHANNON BLACK in MARSHALL, AR.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Family Medicine |
207Q00000X | 08 | Physician/Family Practice |
| NPI # | 1043013394 |
|
| Status | Active | |
| Credentials | FNP-BC (Family Nurse Practitioner) | |
| Entity | Individual | |
| Enumeration date | 03/31/2025 | |
| Last updated | 06/26/2025 - About 12 months ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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SHANNON BLACK
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SHANNON BLACK, FNP-BC