Eva Marie Black
Nurse Practitioner (Family)

Address: 305 Riverdale Dr, Columbus, MS 39702-2911
Phone: 6625494050

Eva Marie Black (NPI# 1134765886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1134765886
Entity Type Individual
Full Name Eva Marie Black
Gender Female
Practice Address 305 Riverdale Dr
Columbus
MS 39702-2911
Practice Telephone 6625494050
Mailing Address 305 Riverdale Dr
Columbus
MS 39702-2911
Mailing Telephone 6625494050
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2019-11-18
Last Update Date 2019-11-18

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 363LF0000X Nurse Practitioner · Family Physician Assistants & Advanced Practice Nursing Providers 901756 MS

Other Provider Identifier

State Identifier Issuer Type Code
99999999 OTHER N/A

Providers with the same name

NPI Name Taxonomy Address Enumeration
1093256174 Eva Black Counselor 41 Pacella Park Dr, Randolph, MA 02368-1755 2017-03-09

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to comeā€¦

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Office Location

Street Address 305 RIVERDALE DR
City COLUMBUS
State MS
Zip Code 39702-2911

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215276175 Dutch Medical Clinics, Inc Clinic/Center 3654-b New Hope Rd, Columbus, MS 39702 2013-02-12
1740552439 Bobbie Sue Pearson Nurse Practitioner 3654-b New Hope Road, Columbus, MS 39702 2012-01-27
1023193927 James D Wiygul Dentist 220 Alabama Street, Columbus, MS 39702 2006-10-26
1821185398 Children's Health Center of Columbus, Inc. Pediatrics 114 N Lehmberg Road, Columbus, MS 39702 2006-10-06
1265449367 Windsor Place Nursing Center Inc Skilled Nursing Facility 81 Windsor Blvd, Columbus, MS 39702 2006-08-02
1811976368 Aurora Australis, LLC Skilled Nursing Facility 310 Emerald Dr, Columbus, MS 39702 2006-01-12
1992298905 Adam Holmes Non-emergency Medical Transport (VAN) 2798 Lake Lowndes Rd, Columbus, MS 39702 2018-06-13
1639692833 Walgreen Co Durable Medical Equipment & Medical Supplies 201b Alabama St, Columbus, MS 39702 2017-07-19
1679724082 Dutch Pharmacies Inc Pharmacy 3654 New Hope Rd, Columbus, MS 39702 2008-10-03
1972726651 Hydeco LLC Durable Medical Equipment & Medical Supplies 910 Tuscaloosa Rd, Suite 3, Columbus, MS 39702-1616 2007-04-11
Find all providers in zip 39702

Competitor

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City COLUMBUS
Zip Code 39702

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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