Healthcare Provider Details

I. General information

NPI: 1164433694
Provider Name (Legal Business Name): CELESTE PERRY COLLINS APRN, NNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2006
Last Update Date: 06/24/2024
Certification Date: 06/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 HENRY CLAY AVE
NEW ORLEANS LA
70118-5798
US

IV. Provider business mailing address

1100 POYDRAS ST
NEW ORLEANS LA
70163-1101
US

V. Phone/Fax

Practice location:
  • Phone: 504-899-9511
  • Fax:
Mailing address:
  • Phone: 504-527-9953
  • Fax: 504-527-9950

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LN0005X
TaxonomyCritical Care Neonatal Nurse Practitioner
License NumberAPN0000011811
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code363LN0005X
TaxonomyCritical Care Neonatal Nurse Practitioner
License NumberAP04947
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: