Individual provider · Type 1 NPI

Alexis Black, CNP

Family Nurse Practitioner · Luling, LA

NPI number 1649943937 Active

Practice location

1057 Paul Maillard Rd Ste D-1900
Luling, LA 70070-4349

Call (985) 785-3668 Map

Mailing address

209 E Pin Oak Dr
St. Rose, LA 70087-3239

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X221427 (LA)

Family Nurse Practitioner: Definition to come...

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About NPI 1649943937

Alexis Black, CNP's National Provider Identifier is 1649943937, issued on Aug 1, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Luling, LA. The record was last updated on Aug 20, 2021.