Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amy Black

Individual provider Gerontology Nurse Practitioner · NPI 1780239160

Amy Black is a Gerontology Nurse Practitioner in Chunchula, Alabama. Practices as a sole proprietor. Licensed in Alabama.

Licensed in
AL
In the registry since
2019

Practice location Address checks out

10420 Reva Rd N
Chunchula, AL 36521-3330
Phone: (251) 490-5884
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 1-071140 (AL)

Record details

NPI number1780239160
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 2, 2019
Last updated in NPPESAugust 2, 2019
Mailing address10420 Reva Rd N, Chunchula, AL 36521-3330