Healthcare Provider Details

I. General information

NPI: 1396654109
Provider Name (Legal Business Name): LINDA COLLINS, NP IN ADULT HEALTH, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2026
Last Update Date: 09/07/2026
Certification Date: 09/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 S CLINTON AVE FL 24
ROCHESTER NY
14604-1846
US

IV. Provider business mailing address

1029 LYELL AVE UNIT 218
ROCHESTER NY
14606-1959
US

V. Phone/Fax

Practice location:
  • Phone: 585-233-4474
  • Fax:
Mailing address:
  • Phone: 585-233-4474
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: LINDA L. COLLINS
Title or Position: MANAGING MEMBER
Credential: AGPCNP-C
Phone: 585-233-4474