Individual provider · Type 1 NPI
Gabrielle Mire Black, PA
Physician Assistant · Maurice, LA
Practice location
4402 U S Highway 167
Maurice, LA 70555-3708
Mailing address
3420 Kirk Rd
Maurice, LA 70555-3417
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant Primary | 363A00000X | 348969 (LA) |
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…
About NPI 1881560829
Gabrielle Mire Black, PA's National Provider Identifier is 1881560829, issued on Oct 16, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Maurice, LA. The record was last updated on Oct 16, 2025.