Stacey Lynn Collins in Johnson City - Family

Stacey Lynn Collins - NPI 1871563981

Stacey Lynn Collins is a Family in Johnson City, Tennessee. Stacey Lynn Collins practices all healthcare services and medical treatments related to Family. The NPI Number for Stacey Lynn Collins is 1871563981. The last update date is 2013-08-28.

Stacey Lynn Collins's current location address is 119 Boone Ridge Dr, Johnson City, Tennessee. You can contact this provider via phone number 4232821480 and fax number 4239281353. The mailing address for Stacey Lynn Collins is 119 Boone Ridge Dr, Johnson City, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Stacey Lynn Collins
Address 119 Boone Ridge Dr, Johnson City, Tennessee
Phone Number 4232821480
Fax Number 4239281353
Sole Proprietor N
Credentials APN

NPI Number Detail

NPI Number 1871563981
Provider Enumeration Date 2006-01-23
Last Updated Date 2013-08-28

Provider Mailing Address Detail

Address 119 Boone Ridge Dr
City Johnson City
State Tennessee (TN)
Post Code 376154998
Phone Number 4232821480
Fax Number 4239281353

Provider's Primary Taxonomy Detail

Speciality Family
Taxonomy 363Lf0000X
Licence No 11024
Definition:
An advanced practice registered nurse expert in primary healthcare for patients of all ages.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
3640259 TN --
TN0109 TN JOHN DEERE HEALTHCARE

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FAQs about Stacey Lynn Collins

What is the unique identifier code issued to Stacey Lynn Collins by the Centers for Medicare & Medicaid Services?

The Stacey Lynn Collins has been assigned the NPI (National Provider Identifier) 1871563981. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Stacey Lynn Collins?

The Stacey Lynn Collins is physically situated at 119 Boone Ridge Dr, in the city of Johnson City, state of TN, with the postal code 376154998.

What is the Stacey Lynn Collins's specialty and taxonomy code?

The Stacey Lynn Collins's specialty is Family, and the corresponding taxonomy code is 363Lf0000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1871563981 to Stacey Lynn Collins?

The Centers for Medicare & Medicaid Services originally issued the 1871563981 to Stacey Lynn Collins on 2006-01-23.

When was the information related to Stacey Lynn Collins most recently updated or refreshed?

The details pertaining to the Stacey Lynn Collins, including its address, specialty, and other relevant information, were last updated or refreshed on 2013-08-28.

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