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Search › Georgia › Family Nurse Practitioner

Ivy Black, C-NP

NPI 1104571462 · on the registry since 2022

Practice

Address
2782 Cobb Pkwy Nw
Kennesaw, GA 30152
Phone
(706) 405-1195
Organisation at this address
Georgia Cvs Pharmacy, L.L.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
8

Registry record

Primary taxonomy
Family Nurse Practitioner
363LF0000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-06-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia