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

Freda Ann Black, NURSEPRACTITIONER

Individual provider Adult Health Nurse Practitioner · NPI 1740296516

Freda Ann Black, NURSEPRACTITIONER is an Adult Health Nurse Practitioner in South Bend, Indiana. Licensed in Illinois and Indiana. Registered with an NPI since 2006.

Licensed in
IL, IN
In the registry since
2006
Specialties on file
2

Practice location Address checks out

112 W Jefferson Blvd
South Bend, IN 46601-1923
Phone: (574) 546-1900
Fax: (574) 546-1999
Show map & directions

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

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 71001497 (IN)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 209.005685 (IL)

Record details

NPI number1740296516
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedJuly 31, 2006
Last updated in NPPESSeptember 8, 2016
Mailing address112 W Jefferson Blvd, South Bend, IN 46601-1923

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