Nurse Practitioner, Family
AUSTIN BLACK FNP-BC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1245017052 · enumerated 2023-09-13 · record updated 2023-09-13. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address PO BOX 40, MANTACHIE, MS, 38855-0040 (662) 282-4226 Google Maps Apple Maps OpenStreetMap
- Practice location 5681 HIGHWAY 363, MANTACHIE, MS, 38855-7632 (662) 282-4226 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner, Family 363LF0000X · Primary · License 906272 MS
In this directory
Locations and evidence
-
Practice location
MANTACHIE, MS, 388557632
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.