Judith Lee Black, RN-BC
Individual provider Active NPI Ambulatory Care Registered Nurse · Knoxville, TN
NPI 1447732995 · NPPES record last updated Aug 31, 2018
Key facts
- NPI
- 1447732995
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Ambulatory Care Registered Nurse 163WP2201X
- License
- 112463 (TN)
- Practice address
- 2018 Western Ave
Knoxville, TN 37921-5718 - Phone
- (865) 544-0406
- Fax
- (865) 544-0480
- NPI assigned
- Aug 31, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 112463 | TN | MD | Ambulatory Care Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Care Registered Nurse | 163WP2201X | 112463 | TN | Yes |
Addresses
Primary practice location
2018 Western Ave
Knoxville, TN 37921-5718
Mailing address
1923 Sulphur Springs Rd
Morristown, TN 37813-5654
Phone (423) 317-9344
Other names
- Judith Lee Dwyer
Other providers in Knoxville, TN
- Amy Renee Black
- Elizabeth Burns Black
- Erin G Black
- Francis Michael Black
- Haleigh Black
- Kathryn Marie Black
- Laurel Black
- Lauren Black
- Lucinda Black
- Makenna Black
All providers in Knoxville, TN · Ambulatory Care Registered Nurse in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 31, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.