GABRIELLE MIRE BLACK PA NPI 1881560829

NPI Information

  • NPI: 1881560829
  • Provider Name: GABRIELLE MIRE BLACK, PA
  • Classification: Physician Assistant - 363A00000X
  • Entity Type: Individual
  • Address: 4402 U S HIGHWAY 167
    MAURICE, LA
    ZIP 70555
  • Phone: (337) 516-3110

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NPI Details

Gabrielle Mire Black, PA is a physician assistant in Maurice, LA. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. Gabrielle Mire Black, PA NPI is 1881560829. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4402 U S HIGHWAY 167
MAURICE, LA
ZIP 70555-708
Phone: (337) 516-3110

The enumeration date for this NPI number is 10/16/2025 and was last updated on 10/16/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363A00000XPhysician Assistant348969LOUISIANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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