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

Laurie Jo Black, RNCNP

Individual provider Pediatric Nurse Practitioner · NPI 1679551329

Laurie Jo Black, RNCNP is a Pediatric Nurse Practitioner in Saint Cloud, Minnesota. Licensed in Florida and Minnesota. Registered with an NPI since 2006.

Licensed in
FL, MN
In the registry since
2006
Specialties on file
2

Practice location Address checks out

1200 6th Ave N Centra Care Clinic
Saint Cloud, MN 56303-2735
Phone: (320) 251-2700
Fax: (727) 587-7739
Show map & directions

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

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence R217274-5 (MN)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence ARNP2638602 (FL)

Record details

NPI number1679551329
Entity typeIndividual (Type 1)
GenderFemale
Credentials RNCNP
Sole proprietorNo
NPI enumeratedJanuary 4, 2006
Last updated in NPPESNovember 20, 2014

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