Nikki Collins, RN
Individual provider Active NPI Registered Nurse · Collins, GA
NPI 1962090753 · NPPES record last updated Jan 6, 2021
Key facts
- NPI
- 1962090753
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 256722 (GA)
- Practice address
- 568 Will Funderburke Rd
Collins, GA 30421-2970 - Phone
- (912) 288-3778
- NPI assigned
- Jan 6, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 256722 | GA | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 256722 | GA | Yes |
Addresses
Primary practice location
568 Will Funderburke Rd
Collins, GA 30421-2970
Mailing address
568 Will Funderburke Rd
Collins, GA 30421-2970
Phone (912) 288-3778
Other names
- Nicole Leigh Collins
Other providers in Collins, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 6, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.