Provider Demographics
NPI:1235560533
Name:GILES, CARA (FNP-BC)
Entity Type:Individual
Prefix:
First Name:CARA
Middle Name:
Last Name:GILES
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:CARA
Other - Middle Name:
Other - Last Name:MOORE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1414 W COLLEGE ST
Mailing Address - Street 2:
Mailing Address - City:PULASKI
Mailing Address - State:TN
Mailing Address - Zip Code:38478-5202
Mailing Address - Country:US
Mailing Address - Phone:931-363-3004
Mailing Address - Fax:
Practice Address - Street 1:1414 W COLLEGE ST
Practice Address - Street 2:
Practice Address - City:PULASKI
Practice Address - State:TN
Practice Address - Zip Code:38478-5202
Practice Address - Country:US
Practice Address - Phone:931-363-3004
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-12-11
Last Update Date:2020-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN18230363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily