KISHA RENEE BLACK

JACKSONVILLE, FL
NPI1760182893
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: FL  APRN11023957)
Enumeration Date2023-03-07
Last Update Date2023-03-07
Business Address
Ms. KISHA RENEE BLACK APRN
3625 UNIVERSITY BLVD. S.
JACKSONVILLE, FL 32216
Phone number: 904-702-6089
Mailing Address
Ms. KISHA RENEE BLACK APRN
3612 DOUBLE BLANCH LANE
ORANGE PARK, FL 32073
Phone number: 904-536-3680
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