Individual
MRS. REBECCA LYNN GROB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1051 GAUSE BLVD., SUITE 230, SLIDELL, LA 70458
(985) 641-7577
(985) 643-0826
Mailing address
1514 JEFFERSON HWY., NEW ORLEANS, LA 70121
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
203910
LA
363L00000X
Nurse Practitioner
903334
MS
Other
Enumeration date
02/20/2019
Last updated
03/24/2026
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