Healthcare Provider Details

I. General information

NPI: 1972955912
Provider Name (Legal Business Name): ASHLEY COLLINS P.M.H.N.P
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/01/2016
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

170 NORTHWOODS BLVD STE 210
COLUMBUS OH
43235-4711
US

IV. Provider business mailing address

170 NORTHWOODS BLVD STE 210
COLUMBUS OH
43235-4711
US

V. Phone/Fax

Practice location:
  • Phone: 614-714-5981
  • Fax: 833-923-0593
Mailing address:
  • Phone: 614-714-5981
  • Fax: 833-923-0593

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN.CNP.021988
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: