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

Mrs. Amy Elizabeth Black, NP-C

Individual provider Registered Nurse · NPI 1902994106

Mrs. Amy Elizabeth Black, NP-C is a Nurse Practitioner in Petersburg, Virginia. Qualified in 2002, 24 years ago. Practices with Forefront Dermatology SC, a 645-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
24
Licensed in
VA
In the registry since
2006
Specialties on file
4
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

See every abbreviation used in this directory →

Practice location Address checks out

44 Medical Park Blvd Ste A
Petersburg, VA 23805-9351
Phone: (804) 324-4511
Fax: (804) 835-5103
Show map & directions

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

Additional practice locations (1)

  • 7001 Forest Ave Ste 400, Richmond, VA 23230-1726 — (804) 282-0831

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 0024165724 (VA)
Registered Nurse Taxonomy 163W00000X · Licence 0001177817 (VA)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 0024165724 (VA)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 0024165724 (VA)

Record details

NPI number1902994106
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorNo
NPI enumeratedOctober 11, 2006
Last updated in NPPESAugust 7, 2024
Certification dateAugust 7, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Forefront Dermatology Sc — 645 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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