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NPI Code Detail

MEDICARE: MRS. CHRISTINA MARIE COLLINS APRN

MEDICARE: MRS. CHRISTINA MARIE COLLINS APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAPRN.CNP.0029256OH
2363LF0000XFamily Nurse Practitioner35186TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1F06212837OTHEROHAMERICAN ACADEMY OF NURSE PRACTITIONERS CERTIFICATION BOARD

General Provider Information

NPI Number : 1679144901
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CHRISTINA MARIE COLLINS APRN
Provider Business Mailing Address
First Line : 562 W MAIN ST
Second Line :
City : COOKEVILLE
State : TN
Zip : 38506-5382
Country : US
Telephone Number : 931-854-9601
Fax Number : 931-854-9605
Provider Business Practice Location Address
First Line : 562 W MAIN ST
Second Line :
City : COOKEVILLE
State : TN
Zip : 38506-5382
Country : US
Telephone Number : 931-854-9601
Fax Number : 931-854-9605
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2021
Last Update Date : 01/04/2024

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