Individual
LISA COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN-BC, CLC
Contact information
Practice address
5349 NESSEE ST, FAYETTEVILLE, NC 28314-8588
(919) 423-4169
Mailing address
5349 NESSEE ST, FAYETTEVILLE, NC 28314-8588
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
202608
NC
163WG0000X
General Practice Registered Nurse
202608
NC
163WI0500X
Infusion Therapy Registered Nurse
202608
NC
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
202608
NC
163WN0003X
Low-Risk Neonatal Registered Nurse
202608
NC
163WP0200X
Pediatric Registered Nurse
202608
NC
251F00000X
Home Infusion Agency
—
—
Other
Enumeration date
12/13/2017
Last updated
12/13/2017
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