Shannon Black, FNP-BC is a
Nurse Practitioner - Family physician based in Marshall, Arkansas. Shannon Black is licensed to practice in Arkansas (license number 233849) and her current practice location is 942 Highway 65 N, Marshall, Arkansas. She can be reached at her office (for appointments etc.) via phone at
(888) 518-1418.
NPI number for Shannon Black is 1043013394 and her current mailing address is 4196 Highway 62 412 Ste A, Hardy, Arkansas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1043013394.
Physician's Profile
Full Name | Shannon Black |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 942 Highway 65 N, Marshall, Arkansas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1043013394
- Provider Enumeration Date: 03/31/2025
- Last Update Date: 06/26/2025
Medical Identifiers
Medical identifiers for Shannon Black such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1043013394 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 2025004733 (Missouri) | Secondary |
363LF0000X | Nurse Practitioner - Family | 233849 (Arkansas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shannon Black is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Shannon Black, FNP-BC 4196 Highway 62 412 Ste A, Hardy, AR 72542-8002 Ph: () - | Shannon Black, FNP-BC 942 Highway 65 N, Marshall, AR 72650-7772 Ph: (888) 518-1418 |
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