MISS JENNA RUSSELLE COLLINS (NPI# 1568856706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568856706 |
| Entity Type | Individual |
| Full Name | MISS JENNA RUSSELLE COLLINS |
| Practice Address |
7180 S State Highway 605 Rehobeth AL 36301-6528 |
| Practice Telephone | 3346187284 |
| Mailing Telephone | 3346187284 |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2015-03-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | S10727 | AL | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265724660 | Jenna Ann Collins | Occupational Therapy Assistant | 5707 Tpc Pkwy, Apt. 1121, San Antonio, TX 78261-2800 | 2011-05-04 |
| 1063022960 | Jenna Collins | Behavior Technician | 1819 E Springfield Ave Ste H, Spokane, WA 99202-2954 | 2020-08-05 |
| 1952927154 | Jenna Collins | Speech-Language Pathologist | 4603 Timberwalk Ct, La Grange, KY 40031-6746 | 2020-06-23 |
| 1457803207 | Jenna Collins | Speech-Language Pathologist | 634 Sw Mulvane St, Suite 404, Topeka, KS 66606-1678 | 2016-10-27 |
| 1609233550 | Jenna Collins | Physical Therapist | 2100 38th St Nw, Canton, OH 44709-2312 | 2016-01-23 |
| 1952450397 | Jenna Lynn Collins | Counselor | 398 Hospital Rd, Sylva, NC 28779-5196 | 2007-01-08 |
| Street Address |
7180 S STATE HIGHWAY 605 |
| City | REHOBETH |
| State | AL |
| Zip Code | 36301-6528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043862931 | Pharmacy Center South LLC | Pharmacy | 2826 Ross Clark Circle, Suite 103, Dothan, AL 36301 | 2019-07-11 |
| 1851879167 | Attallah Cotton | Social Worker | 101 Eastridge Dr, Dothan, AL 36301 | 2018-07-31 |
| 1225522709 | Nichole Johnson Prestwood | Nurse Practitioner | 2431 W Main St Ste 501, Dothan, AL 36301 | 2018-06-19 |
| 1750805818 | Kimberly Danielle Austin | Speech-Language Pathologist | 404 Darlington Cir, Dothan, AL 36301 | 2017-07-31 |
| 1952794885 | Lori P. Granberry | Pharmacist | 2131 Ross Clark Circle, Dothan, AL 36301 | 2015-03-17 |
| 1801286059 | Robert Cody Russell | Nurse Practitioner | 1118 Ross Clark Circle, Suite 100, Dothan, AL 36301 | 2015-01-27 |
| 1720407646 | Michael Kreger | Anesthesiology | 1118 Ross Clark Cir Ste 700, Dothan, AL 36301 | 2014-04-08 |
| 1063851277 | Carlos Stanford Clark II | Family Medicine | 201 Doctors Drive, Dothan, AL 36301 | 2013-06-20 |
| 1639489313 | Robert Fort Hambaugh Jr. | Specialist | 712 Woodland Drive, Dothan, AL 36301 | 2010-10-15 |
| 1588894976 | Atwill Lamar Miller Jr. | Urology | 1908 Fairview Avenue, Dothan, AL 36301 | 2009-07-20 |
| Find all providers in zip 36301 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629676747 | Tully Booth Davis | Student in an Organized Health Care Education/Training Program | 705 Emerald Dr, Prattville, AL 36067-3711 | 2020-10-12 |
| 1679170823 | Terri Kast | Student in an Organized Health Care Education/Training Program | 2826 Moody Pkwy Ste A, Moody, AL 35004-3101 | 2020-10-01 |
| 1891302907 | Dyneisha Barrett | Student in an Organized Health Care Education/Training Program | 2251 Liberty Ct, Mobile, AL 36608-9145 | 2020-09-23 |
| 1174135966 | Amberlyn Nicole Baker | Student in an Organized Health Care Education/Training Program | 5370 Elgin Dr W, Grand Bay, AL 36541-3272 | 2020-08-21 |
| 1548872344 | Shelby Glynn | Student in an Organized Health Care Education/Training Program | 1200 Somerby Dr Apt 326, Mobile, AL 36695-5429 | 2020-08-21 |
| 1407468689 | Yasmeen Antheana-neshaygreen Brenson | Student in an Organized Health Care Education/Training Program | 206 Lakeview Ave, Selma, AL 36703-1705 | 2020-08-19 |
| 1366054496 | Marc Simon | Student in an Organized Health Care Education/Training Program | 7866 Taylor Park Rd Apt G, Montgomery, AL 36117-4769 | 2020-08-19 |
| 1982216388 | Kaitlyn Culotta Dozier | Student in an Organized Health Care Education/Training Program | 936 Grant Park Drive, Mobile, AL 36606 | 2020-08-18 |
| 1912518549 | Makenzie Rose-lynn Dunning | Student in an Organized Health Care Education/Training Program | 2841 Leigh Ct, Mobile, AL 36695-9794 | 2020-08-17 |
| 1093326613 | Rachael Lauren Abroms | Student in an Organized Health Care Education/Training Program | 871 W Briar Ct, Mobile, AL 36609-5167 | 2020-08-17 |
| Find all providers with the same taxonomy | ||||
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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.