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Contact Information

EVA M BLACK, FNP-BC
376 COMMERCE AVE
CARROLLTON, AL35447-2253
 Phone: 205-614-6228
 Fax: 205-367-1612
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for EVA M BLACK · (Female)

NPI # 1134765886
Status Active
Credentials FNP-BC (Family Nurse Practitioner)
Entity Individual
Enumeration date 11/18/2019
Last updated 07/31/2025 - About 10 months ago
Sole proprietor 1 No
Identifiers
  • AL License # 1-168015
  • MS License # 901756
  • AL Other 1-168015 ALABAMA LICENSE
  • MS Other 901756 MISSISSIPPI LICENSE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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