| Doctor Name: | MS. SHONTA DENISE COLLINS |
| NPI Number: | 1689005589 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRNP, FNP-C |
| License Number: | SP013482 |
| Business Practice Address: | 321 E Broad St Gibbstown, NJ - 080271459 |
| Business Phone Number: | 8564237700 |
| Business Fax Number: | 8564230823 |
| Mailing Address: | 321 E Broad St, GIBBSTOWN |
| State: | NJ |
| Postal Code: | 080271459 |
| Phone Number: | 8564237700 |
| Fax Number: | 8564230823 |
| NPI Enumeration Date: | 12/03/2013 |
| NPI Last Update Date: | 11/26/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | SP013482 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |