Doctor Name: | LUCINDA WEEKS COLLINS |
NPI Number: | 1083688311 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | A.R.N.P. |
License Number: | 1-061131 |
Business Practice Address: | 5239 Brown St Graceville, FL - 324402513 |
Business Phone Number: | 8503604909 |
Business Fax Number: | 8503604911 |
Mailing Address: | 156 Alex White Dr, DALEVILLE |
State: | AL |
Postal Code: | 363225326 |
Phone Number: | 3347094172 |
Fax Number: | |
NPI Enumeration Date: | 02/14/2006 |
NPI Last Update Date: | 09/09/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 1-061131 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |