Provider Demographics
NPI:1508176124
Name:COBB, JAMES C (RN)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:C
Last Name:COBB
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2012 TRAEMOOR VILLAGE DR
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37209-5054
Mailing Address - Country:US
Mailing Address - Phone:615-352-1582
Mailing Address - Fax:
Practice Address - Street 1:2012 TRAEMOOR VILLAGE DR
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37209-5054
Practice Address - Country:US
Practice Address - Phone:615-352-1582
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-15
Last Update Date:2010-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000161718163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse