BRIANNE ELLIS BLACK

VIDALIA, LA
NPI1134014939
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: LA  202115)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: MS  907575)
Enumeration Date2025-06-11
Last Update Date2025-08-01
Business Address
Mrs. BRIANNE ELLIS BLACK FNP
1648 CARTER ST STE 2
VIDALIA, LA 71373-3111
Phone number: 318-414-2315
Mailing Address
Mrs. BRIANNE ELLIS BLACK FNP
1648 CARTER ST
VIDALIA, LA 71373-3111
Phone number: 318-607-5870
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