Theresa Marie Black
APRN | Nurse Practitioner - Gerontology
402 N Babcock St Ste 102, Melbourne
Florida, 32935-7335
321-241-6540
May or may not accept Medicare Nurse Anesthetist in Melbourne, Florida.Theresa Marie Black is a Melbourne, Florida based nurse practitioner who is specialized as Gerontology nurse. Active license number of Theresa Marie Black is APRN11025876 for Gerontology in Florida. Her current practice location is 402 N Babcock St Ste 102, Melbourne. Patients can reach her at 321-241-6540 or can fax her at 321-428-4442. Theresa Marie Black is APRN with specialization in Gerontology and her NPI number (Unique professional ID assigned by NPPES) is 1164119269.
Theresa Marie Black is specially trained to treat the complex physical and mental health needs of older adults. She have the right to administer medications, order and assess diagnostic tests, and design and implement comprehensive treatment plans for her patients.
Adult Gerontology Nurse Practitioner (AGNP) day-to-day responsibilities include helping older patients with daily tasks like eating, bathing, dressing, and walking, administering medications, monitoring vital signs, cooperating with physicians, other advanced nurse practitioners, and registered nurses.
Complete Profile:
Theresa Marie 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: | Theresa Marie Black |
| Specialization: | Gerontology Nurse Practitioner (AGNP) |
| Gender: | Female |
| Credentials: | APRN |
| Practice Address: | 402 N Babcock St Ste 102, Melbourne, Florida, 32935-7335 |
| Phone: | 321-241-6540 |
| Fax: | 321-428-4442 |
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: | 1164119269 |
| NPI Enumeration Date: | 19 Apr, 2023 |
| NPI Last Update On: | 19 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 Theresa Marie Black are as mentioned below.
| License Number | Specialization | State | Status | |
| APRN11025876 | Gerontology | Florida | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Theresa Marie Black Po Box 361095, Melbourne, Florida |
| Zip: | 32936-1095 |
| Phone Number: | 321-253-2900 |
| Fax Number: | 321-435-0100 |
Patients can reach Theresa Marie Black at
402 N Babcock St Ste 102, Melbourne, Florida or can
call to book an appointment on 321-241-6540.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.