MRS. NANCY DANIELLE COLLINS (NPI# 1033586615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033586615 |
Entity Type | Individual |
Full Name | MRS. NANCY DANIELLE COLLINS |
Credential | FNP |
Practice Address |
903 Ward St W Ste B Douglas GA 31533-3536 |
Mailing Address |
Po Box 1377 Douglas GA 31534-1377 |
Practice Telephone | 9123844111 |
Practice Fax Number | 9123844117 |
Mailing Telephone | 9123892231 |
Mailing Fax Number | 9123841470 |
Enumeration Date | 2015-08-30 |
Last Update Date | 2019-06-12 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN210307 | GA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 003170214F | 05 | |
GA | DEA | MC3684188 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
1724a Old Reynolds St, Waycross, GA 315011036 | 9123844111 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659873511 | Nancy Ann Collins | Speech-Language Pathologist | 751 Norwood Ln, Woodbridge, VA 22191-1340 | 2018-03-06 |
1760839534 | Nancy Christiana Collins | Counselor | 4907 Nw 43rd St C., Gainesville, FL 32606 | 2016-05-20 |
1629311980 | Nancy Paloma Collins | Marriage & Family Therapist | 4701 Von Karman Ave Ste 331, Newport Beach, CA 92660-8150 | 2013-04-04 |
1134480064 | Nancy A. Collins | Health Educator | 6711 Oak Hill Cir, Rensselaer, NY 12144-8803 | 2012-06-07 |
1427017656 | Nancy A Collins | Optometrist | 107 E Foster St, Lewisburg, WV 24901-1409 | 2006-03-17 |
1730786831 | Nancy J Collins | In Home Supportive Care | 10 Mountain Park Dr, Fairmont, WV 26554-8992 | 2020-10-02 |
1558846766 | Nancy Jean Collins | Physical Therapy Assistant | 13085 Us Highway 1, Sebastian, FL 32958-3726 | 2018-10-03 |
1164833869 | Nancy Collins | Occupational Therapy Assistant | 8477 S Suncoast Blvd, Homosassa, FL 34446-5028 | 2014-05-15 |
1972749281 | Nancy Hoffmann Collins | Nurse Practitioner | 900 S Washington St, Suite 300, Falls Church, VA 22046-4020 | 2008-12-17 |
1235250648 | Nancy H Collins | Obstetrics & Gynecology | 8002 Myrtle Trace Dr, Conway, SC 29526-8945 | 2007-04-03 |
Street Address |
903 WARD ST W STE B |
City | DOUGLAS |
State | GA |
Zip Code | 31533-3536 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891741757 | Eric Buckley Anderson | Internal Medicine | 903 Ward St W Ste B, Douglas, GA 31533-3536 | 2006-05-25 |
1366784134 | Crh Physician Practices LLC | Clinic/Center | 903 Ward St W Ste B, Douglas, GA 31533-3536 | 2013-03-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508470964 | Swain Drug Company LLC | Pharmacy | 855 Bowens Mill Rd Sw Suite E, Douglas, GA 31533 | 2020-09-03 |
1811528649 | Unison Behavioral Health | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 211 North Street, Douglas, GA 31533 | 2020-01-30 |
1952940793 | Teresa Smith | Pharmacist | 901 W Ward St, Douglas, GA 31533 | 2019-12-26 |
1447641048 | Jennifer Spivey | Nurse Practitioner | 326 Shirley Avenue, Douglas, GA 31533 | 2015-02-18 |
1972914497 | Jessica Lynne Courson | Nurse Practitioner | 903 West Ward Street, Suite B, Douglas, GA 31533 | 2014-05-19 |
1063840296 | South Central Primary Care Center | Clinic/Center | 303 Shirley Ave, Ste B, Douglas, GA 31533 | 2013-10-25 |
1336411008 | Unison Behavioral Health | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 118 Coweta Avenue South, Douglas, GA 31533 | 2012-01-27 |
1346482700 | V and V Clinic | Pediatrics | 1020 West Bryan Street, Douglas, GA 31533 | 2009-04-01 |
1063650406 | Jayla Snipes Bullock | Speech-Language Pathologist | 618 Bowens Mill Road Sw, Douglas, GA 31533 | 2009-01-22 |
1417112707 | Southern Community Services Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 315 S. Gaskin Ave, Douglas, GA 31533 | 2008-07-25 |
Find all providers in zip 31533 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013551829 | Taylor Lamar Gibson | Nurse Practitioner | 200 Doctors Dr Ste O, Douglas, GA 31533-2202 | 2019-11-05 |
1952879918 | Monica Nichole Roberts | Nurse Practitioner | 210 Peterson Ave S, Douglas, GA 31533-5237 | 2018-11-08 |
1770058539 | Carlas Paulk | Nurse Practitioner | 28 Tempa Ln, Douglas, GA 31535-4561 | 2018-10-09 |
1053801860 | Brandon Hall | Nurse Practitioner | 903 Ward St W Ste A, Douglas, GA 31533-3536 | 2018-05-16 |
1235508920 | Michelle Martinez Jones | Nurse Practitioner | 200 Doctors Dr Ste S, Douglas, GA 31533-2203 | 2015-09-23 |
1447641048 | Jennifer Spivey | Nurse Practitioner | 326 Shirley Avenue, Douglas, GA 31533 | 2015-02-18 |
1457758609 | Angela Leah Overturf | Nurse Practitioner | 100 East 5th Street, Douglas, AZ 85607 | 2014-12-02 |
1063817872 | Amanda Brulte | Nurse Practitioner | 100 Doctors Dr Ste 104, Douglas, GA 31533-2211 | 2014-10-23 |
1720481500 | La. Donna Spikes | Nurse Practitioner | 208 Grady Ave S, Douglas, GA 31533-2312 | 2014-10-07 |
1972914497 | Jessica Lynne Courson | Nurse Practitioner | 903 West Ward Street, Suite B, Douglas, GA 31533 | 2014-05-19 |
Find all providers in DOUGLAS |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.