IndividualActive
Crystal Black
NPI 1033906060 · Family Nurse Practitioner · Stuart, VA
Provider details
- NPI number
- 1033906060
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 0001194346 (VA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
18877 Jeb Stuart Hwy
Stuart, VA 24171-5223
Phone: (276) 694-4466
Approximate (ZIP-level) locationGet directions
Mailing address
1132 Carter Mountain Rd
Stuart, VA 24171-3769
Registry dates
- Enumerated
- 2025-04-23
- Last updated
- 2025-04-23
- Certified
- 2025-04-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.