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IndividualActiveMedicare EnrolledPrescriberCan Order/Refer

Shannon Black

FNP-BC

Nurse Practitioner - Family

NPI: 1043013394Marshall, Arkansas, 72650(888) 518-1418Female

About Shannon Black

Shannon Black, FNP-BC, is a female healthcare professional specializing in Nurse Practitioner - Family with a focus on Family, registered under National Provider Identifier (NPI) number 1043013394. Shannon Black received her medical education at OTHER, graduating in 2025.

Their primary practice is located at 942 HIGHWAY 65 N, Marshall, Arkansas 72650. Patients can reach the office at (888) 518-1418. In addition to the primary location, Shannon Black maintains 2 additional practice locations.

Shannon Black is enrolled in Medicare and accepts Medicare patients, is authorized to order and refer Medicare services, is authorized to prescribe medications. Shannon Black has been NPI-registered since 2025.

Key Metrics

Practice Locations

3

Doctor Details

Identity & Credentials

NPI Number
1043013394
Entity Type
Individual
First Name
Shannon
Last Name
Black
Credential
FNP-BC
Gender
Female
Medical School
OTHER
Graduation Year
2025
Sole Proprietor
No
Status
active

Primary Practice Location

Address
942 HIGHWAY 65 N
City
Marshall
State
Arkansas
ZIP
72650-7772
Country
United States
Phone
(888) 518-1418
Fax
(501) 468-0468

Specialty & Taxonomy

Primary Specialty
Nurse Practitioner - Family
Classification
Nurse Practitioner
Specialization
Family
Taxonomy Code
363LF0000X

NPI Registration

Enumeration Date
Last Updated
Certification Date

Mailing Address

Address
4196 HIGHWAY 62 412 STE A
City
HARDY
State
AR
ZIP
725428002

Medicare Enrollment

Medicare Enrolled
Yes
Can Order/Refer
Yes
Telehealth
No
Excluded
No

Prescriber Information

Authorized Prescriber
Yes

Frequently Asked Questions

What is Shannon Black's NPI number?
Shannon Black's National Provider Identifier (NPI) is 1043013394. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Shannon Black specialize in?
Shannon Black specializes in Nurse Practitioner - Family. They received their medical education at OTHER (class of 2025).
Where is Shannon Black located?
Shannon Black practices at 942 HIGHWAY 65 N, Marshall, Arkansas 72650. You can reach them by phone at (888) 518-1418. They also have 2 additional practice locations.
Does Shannon Black accept Medicare?
Yes, Shannon Black is enrolled in the Medicare program and accepts Medicare patients. They are also authorized to order and refer services under Medicare.
Does Shannon Black offer telehealth or virtual visits?
Shannon Black does not currently offer telehealth services. In-person visits are required at their practice location.
Can Shannon Black prescribe medications?
Yes, Shannon Black is an authorized prescriber.

What is an NPI Number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Shannon Black is 1043013394.