Healthcare Provider Details

I. General information

NPI: 1659201341
Provider Name (Legal Business Name): JOSHUA DANIEL COLLINS APRN, PMHNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2026
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 OAK RIDGE TPKE
OAK RIDGE TN
37830-6957
US

IV. Provider business mailing address

8407 WHISPER LN
POWELL TN
37849-3151
US

V. Phone/Fax

Practice location:
  • Phone: 865-324-2043
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number41806
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: