License holder summary

PHYLISS D BLACK is a Nursing - Certified Nursing Assistant licensed to practice in Florida. The address on file for PHYLISS D BLACK is 2925 NAVAJO AVE FORT PIERCE, FL 34946 UNITED STATES. This nurse license is current. The license was granted 06/12/1984 and expired on 05/31/2017.

Secretary of State

Board of Nursing

PHYLISS D BLACK
Nursing - Certified Nursing Assistant
License number
CNA40739
Date granted
06/12/1984
Date expires
05/31/2017
Class
Nursing - Certified Nursing Assistant
Status
Active
Address
2925 NAVAJO AVE FORT PIERCE, FL 34946 UNITED STATES
nursingflorida.org
ID 31673791
LAST UPDATED 2024-05-02 19:48:57 UTC

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