Healthcare Provider Details

I. General information

NPI: 1205497211
Provider Name (Legal Business Name): GINGER ALECHIA COLLINS NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: GINGER ALECHIA COLLINS RN

II. Dates (important events)

Enumeration Date: 06/21/2019
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1990 HOLTON AVE E
BIG STONE GAP VA
24219-3350
US

IV. Provider business mailing address

9644 SUNSET DR
WISE VA
24293-4510
US

V. Phone/Fax

Practice location:
  • Phone: 276-523-3111
  • Fax:
Mailing address:
  • Phone: 276-328-8660
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number26057
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024177666
License Number StateVA
# 3
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number0024177666
License Number StateVA
# 4
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number26057
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: