Individual provider · Type 1 NPI
Aaliyah Jordan Black, PA-C
Physician Assistant · Hebron, CT
Practice location
21 Liberty Dr
Hebron, CT 06248
Fax (860) 228-4703
Mailing address
41 Massabesic Dr
Auburn, NH 03032-3167
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant Primary | 363A00000X | None listed |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
Physician Assistant: 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, orde…
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About NPI 1205677291
Aaliyah Jordan Black, PA-C's National Provider Identifier is 1205677291, issued on Jun 4, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Hebron, CT. The record was last updated on Jul 2, 2026.