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

Carol Lynn Black, APRN-CNP

Individual provider Family Nurse Practitioner · NPI 1013427129

Carol Lynn Black, APRN-CNP is a Nurse Practitioner in Coalgate, Oklahoma. Qualified in 2017, 9 years ago. Practices with Family Health Center of Southern Oklahoma Inc, a 33-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
9
Licensed in
OK
In the registry since
2017
Specialties on file
2

Practice location Address checks out

107 E Post Ave
Coalgate, OK 74538-3004
Phone: (580) 927-2828
Fax: (580) 927-9876
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence R0067047 (OK)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 67047 (OK)

Record details

NPI number1013427129
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN-CNP
Sole proprietorNo
NPI enumeratedOctober 3, 2017
Last updated in NPPESDecember 19, 2022
Certification dateDecember 19, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Family Health Center Of Southern Oklahoma Inc — 33 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount