Healthcare Provider Details

I. General information

NPI: 1447642335
Provider Name (Legal Business Name): TANGA ROBINSON FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/02/2015
Last Update Date: 11/17/2025
Certification Date: 11/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

513 CASTLEWOODS BLVD
BRANDON MS
39047-7327
US

IV. Provider business mailing address

513 CASTLEWOODS BLVD
BRANDON MS
39047-7327
US

V. Phone/Fax

Practice location:
  • Phone: 601-896-1789
  • Fax:
Mailing address:
  • Phone: 601-896-1789
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number878321
License Number StateMS
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number878321
License Number StateMS
# 3
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number878321
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: