Provider Demographics
NPI:1720789902
Name:PORRO, KIARA CAROLINA (DNP, APRN, PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:KIARA
Middle Name:CAROLINA
Last Name:PORRO
Suffix:
Gender:F
Credentials:DNP, APRN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:404 ACHIEVEMENT DR
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37209-2817
Mailing Address - Country:US
Mailing Address - Phone:301-467-2227
Mailing Address - Fax:
Practice Address - Street 1:317 SEVEN SPRINGS WAY STE 201
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-4511
Practice Address - Country:US
Practice Address - Phone:615-846-4558
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-14
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209026729363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health