Healthcare Provider Details

I. General information

NPI: 1780500884
Provider Name (Legal Business Name): JE'NARI DAY'ON COLLINS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1605 W CHURCH ST
HAMMOND LA
70401-2908
US

IV. Provider business mailing address

46458 N CHERRY ST APT 7
HAMMOND LA
70401-7518
US

V. Phone/Fax

Practice location:
  • Phone: 985-400-1646
  • Fax:
Mailing address:
  • Phone: 504-875-6120
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number10444
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: