IVY BLACK, C-NP
Nurse Practitioner - Family
Active
Individual
NPI: 1104571462
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner - Family | 363LF0000X | Yes | RN195496 (GA) |
Frequently Asked Questions
NPI 1104571462 is the National Provider Identifier for IVY BLACK, C-NP, a Nurse Practitioner - Family provider located in Kennesaw, GA. This NPI was enumerated on February 15, 2022.
IVY BLACK, C-NP practices at 2782 COBB PKWY NW, Kennesaw, GA 30152.
Quick Facts
- NPI
- 1104571462
- Type
- Individual
- Enumerated
- Feb 15, 2022
- Last Updated
- Jun 12, 2025
Nearby Providers
-
KAREN MICHAEL, MA, NCC
Counselor
-
MRS. MELODY WOODARD, P.T.
Physical Therapist
-
DR. CANDACE VAUGHN, MD
Family Medicine
-
BARRETT PARKWAY FOOT AND LEG
Podiatrist - Foot & Ankle Surgery
-
DR. MARIA AXELROD, MD
Pediatrics