Relinda Lea Black, APRN-CNP
Relinda Lea Black, APRN-CNP is a Nurse Practitioner in Tishomingo, Oklahoma. Qualified in 2018, 8 years ago. Practices with Williams Medical Group Practice, LLC, a 207-clinician group and accepts Medicare assignment. Licensed in Oklahoma.
- Years since qualifying
- 8
- Licensed in
- OK
- In the registry since
- 2019
- Specialties on file
- 2
Practice location Address checks out
610 E 24th StTishomingo, OK 73460-3245
Phone: (580) 371-2343
Fax: (580) 371-3170
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence R0096629 (OK) |
|---|---|
| Primary Care Nurse Practitioner | Taxonomy 363LP2300X · Licence 96629 (OK) |
Record details
| NPI number | 1285297598 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | APRN-CNP |
| Sole proprietor | No |
| NPI enumerated | April 22, 2019 |
| Last updated in NPPES | December 19, 2022 |
| Certification date | December 19, 2022 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2018 (8 years in practice) |
| Group practice | Williams Medical Group Practice, Llc — 207 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |