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

MS. Theresa Ann Black, FNP-BC

Individual provider Nurse Practitioner · NPI 1790982080

MS. Theresa Ann Black, FNP-BC is a Nurse Practitioner in Buckhannon, West Virginia. Qualified in 2007, 19 years ago. Practices with Davis Memorial Hospital, a 75-clinician group, accepts Medicare assignment and offers telehealth. Licensed in West Virginia.

Years since qualifying
19
Licensed in
WV
In the registry since
2007
Specialties on file
2
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

11 N Locust St
Buckhannon, WV 26201-4707
Phone: (304) 472-1600
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 49062 (WV)
Nurse Practitioner Taxonomy 363L00000X · Licence 49062 (WV)

Record details

NPI number1790982080
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedJune 29, 2007
Last updated in NPPESNovember 29, 2023
Certification dateNovember 29, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Davis Memorial Hospital — 75 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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