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Individual
TISA D COLLINS-DOUGLAS
Active
Individual
TISA D COLLINS-DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
12402
CT
363L00000X
Nurse Practitioner
3-001395
AL
363L00000X
Nurse Practitioner
858976
NV
363L00000X
Nurse Practitioner
TPAN1890
FL
363LF0000X
Family Nurse Practitioner
Primary
AP136280
TX
Other
Enumeration date
04/17/2018
Last updated
11/03/2023
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