Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GABRIELLE MIRE BLACK, PA
ActivePhysician Assistant · MAURICE, LA
Registration Details
- NPI Number
- 1881560829
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 16, 2025 (0.51296872800564 yrs)
- Last Updated
- Oct 16, 2025
- License
-
348969 (LA)
Practice Information
- Address
-
4402 U S HIGHWAY 167MAURICE, LA, 705553708Browse LA providers · Browse ZIP 70555
- Phone
- 3375163110
- Primary Specialty
-
Physician Assistant
363A00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.