Kelly Black

PMHNP-BC | Nurse Practitioner

32205 Snyder Ln, Homeland
  California, 92548-9600
951-623-7194
May or may not accept Medicare Nurse Anesthetist in Homeland, California.
Kelly Black is a Homeland, California based nurse practitioner. Active license number of Kelly Black is 95024873 for Psych/Mental Health in California. Her current practice location is 32205 Snyder Ln, Homeland. Patients can reach her at 951-623-7194. Kelly Black is PMHNP-BC and her NPI number (Unique professional ID assigned by NPPES) is 1912653536.
Kelly Black has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Kelly Black speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Kelly Black
Specialization: Nurse Practitioner (NP)
Gender:Female
Credentials: PMHNP-BC
Practice Address:32205 Snyder Ln, Homeland,
California, 92548-9600
Phone:951-623-7194
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number: 1912653536
NPI Enumeration Date: 22 Feb, 2022
NPI Last Update On: 18 Apr, 2023

Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kelly Black are as mentioned below.
License NumberSpecializationStateStatus
95024873Psych/Mental Health CaliforniaPrimary
56220Registered Nurse CaliforniaSecondary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Kelly Black
32205 Snyder Ln,
Homeland, California
Zip: 92548-9600
Phone Number: 951-623-7194
Patients can reach Kelly Black at 32205 Snyder Ln, Homeland, California or can call to book an appointment on 951-623-7194.
Comments/ Reviews:

Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.