NPI
Laurie Jo Black
NPI 1679551329
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- RN CNP
- Type
- Individual
- Enumeration date
- 2006-01-04
- Last updated
- 2014-11-20
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Specialties
Licenses
- License FL
- ARNP2638602
- License MN
- R217274-5
Location
- Practice location
- 1200 6th Ave N, Centra Care Clinic
- City
- Saint Cloud MN
- Postal code
- 56303-2735
- Phone
- (320) 251-2700
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Saint Cloud, MN. 4,517 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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