Organization
SHONTA D COLLINS CONSULTING GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHONTA DENISE COLLINS APN (SOLE MEMBER)
(215) 219-9588
Entity
Organization
Contact information
Practice address
28 THROCKMORTON LN STE 204, OLD BRIDGE, NJ 08857-2558
(732) 952-3999
(732) 952-8989
Mailing address
175 W COHAWKIN RD STE C, CLARKSBORO, NJ 08020-1145
(856) 423-7700
(856) 423-0823
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/25/2018
Last updated
07/05/2022
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