NPI 1194512798

Carly Jo Black

Practitioner Home Health Aide Scottsbluff, NE

Practice location

Address: 2006 Avenue F, Scottsbluff, NE 69361-4012
Phone: (308) 641-3075

Registered specialties

Home Health Aide Primary

Nursing Service Related Providers Taxonomy 374U00000X

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Registry record

NPI: 1194512798
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Apr 2025
Record last updated: 24 Apr 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.