Provider Demographics
NPI:1912423989
Name:ROBB, CARA (NP-C)
Entity type:Individual
Prefix:
First Name:CARA
Middle Name:
Last Name:ROBB
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 WOODCLIFF PL
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:MS
Mailing Address - Zip Code:39042-1928
Mailing Address - Country:US
Mailing Address - Phone:901-461-5406
Mailing Address - Fax:
Practice Address - Street 1:120 WOODCLIFF PL
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:MS
Practice Address - Zip Code:39042-1928
Practice Address - Country:US
Practice Address - Phone:901-461-5406
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-21
Last Update Date:2024-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS902263363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner