Laurie Jo Black is a Saint Cloud, Minnesota based nurse practitioner who is specialized as Pediatrics nurse. Active license number of Laurie Jo Black is R217274-5 for Pediatrics in Minnesota. Her current practice location is 1200 6th Ave N, Centra Care Clinic, Saint Cloud. Patients can reach her at 320-251-2700 or can fax her at 727-587-7739. Laurie Jo Black is RN CNP with specialization in Pediatrics and her NPI number (Unique professional ID assigned by NPPES) is 1679551329. Laurie Jo Black specializes in caring for newborns, infants, toddlers, adolescents and young adults. She perform pediatric health care maintenance, including well child exams, developmental screenings and in-depth physical assessments, such as vision, hearing and dental. Pediatrics Nurse Practitioner (PNP) focus on well-child care and the prevention or management of common pediatric acute illnesses and chronic conditions.
Complete Profile:
Laurie Jo 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:
Laurie Jo Black
Specialization:
Pediatrics Nurse Practitioner (PNP)
Gender:
Female
Credentials:
RN CNP
Practice Address:
1200 6th Ave N, Centra Care Clinic, Saint Cloud, Minnesota, 56303-2735
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:
1679551329
NPI Enumeration Date:
04 Jan, 2006
NPI Last Update On:
20 Nov, 2014
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Laurie Jo Black are as mentioned below.
License Number
Specialization
State
Status
R217274-5
Pediatrics
Minnesota
Primary
ARNP2638602
Pediatrics
Florida
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Laurie Jo Black such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
0307418800
Medicaid
Florida
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Laurie Jo Black 1200 6th Ave N, Centra Care Clinic Saint Cloud, Minnesota
Zip:
56303-2735
Phone Number:
320-251-2700
Patients can reach Laurie Jo Black at 1200 6th Ave N, Centra Care Clinic, Saint Cloud, Minnesota or can call to book an appointment on 320-251-2700.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.