Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Brianne Ellis Black, FNP

Individual provider Family Nurse Practitioner · NPI 1134014939

Mrs. Brianne Ellis Black, FNP is a Nurse Practitioner in Vidalia, Louisiana. Qualified in 2025, 1 year ago. Practices with Louisiana Family Medicine Clinic 1, a 3-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Louisiana and Mississippi.

Years since qualifying
1
Licensed in
LA, MS
In the registry since
2025
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

1648 Carter St Ste 2
Vidalia, LA 71373-3111
Phone: (318) 414-2315
Fax: (318) 414-5250
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1648 Carter St Ste 1, Vidalia, LA 71373-3111 — (318) 734-2341

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 202115 (LA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 907575 (MS)

Record details

NPI number1134014939
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedJune 11, 2025
Last updated in NPPESAugust 1, 2025
Certification dateAugust 1, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Louisiana Family Medicine Clinic 1 — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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