| Doctor Name: | HANNAH BLACK |
| NPI Number: | 1154712792 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | CNP 3660 |
| Business Practice Address: | 893 Hwy 70 West Suite 200 Garner, NC - 27529 |
| Business Phone Number: | 9197796461 |
| Business Fax Number: | 8008814493 |
| Mailing Address: | 1314 Oak Forest Dr, HILLSBOROUGH |
| State: | NC |
| Postal Code: | 272789191 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 02/17/2015 |
| NPI Last Update Date: | 06/17/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | CNP 3660 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |