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MRS. DAWN BLACK MSN

Women's Health >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1538158753

Individual Registrant:
MRS. DAWN  BLACK MSN
Gender: F
Not Sole Proprietor

Location and contact information for practice:
307 BOATNER RD STE 114  EGLIN AFB, FL 32542-1302 US
Tel: 850-883-8891  Fax: --

Contact information for business:
307 BOATNER RD STE 114  EGLIN AFB, FL 32542-1302 US
Tel: 850-883-8891  Fax: --

Registration Information:
NPI: 1538158753
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LW0102XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Women's Health
FLARNP 2747772

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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