SARA QUINN BLACK
NPI 1093065831
Student in an Organized Health Care Education/Training Program in Lakeville, MA

Active since September 19, 2012
12 JENNIFER LN, LAKEVILLE, MA 02347(508) 558-0002 Get Directions Write a Review

NPPES record last updated: April 3, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Sara Quinn Black NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SARA QUINN BLACK (NPI 1093065831) is an individual student in an organized health care education/training program in Lakeville, Massachusetts and active in the NPI registry since September 2012.

NPPES Registry Identity

NPI1093065831
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSARA QUINN BLACK
Location Address12 JENNIFER LNLakeville, MA 02347-1728
Mailing Address12 Jennifer LnLakeville, MA 02347-1728 · (508) 558-0002
Sole ProprietorYes
Enumeration DateSeptember 19, 2012
Last NPPES UpdateApril 3, 2026
NPPES CertifiedApril 3, 2026
NPI 1093065831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

12 JENNIFER LN, Lakeville, MA 02347

Reviews for SARA QUINN BLACK

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093065831, enumerated as an "individual" on September 19, 2012.

The provider is located at 12 JENNIFER LN LAKEVILLE, MA 02347 and the phone number is (508) 558-0002.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.