Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jerry Jack Robb

Individual provider Home Modifications Contractor · NPI 1093407892

Jerry Jack Robb is a Home Modifications Contractor in Loretto, Minnesota. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

4150 Woodhill Dr
Loretto, MN 55357-9558
Phone: (612) 481-9675
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Home Modifications Contractor (primary) Taxonomy 171WH0202X

Record details

NPI number1093407892
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 22, 2023
Last updated in NPPESMay 22, 2023
Certification dateMay 22, 2023
Mailing address4150 Woodhill Dr, Loretto, MN 55357-9558