Individual
DR. JIMMIE NELSON COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
825 FAIRFAX AVE, SUITE 610, NORFOLK, VA 23507-1914
(757) 446-8960
(757) 446-5197
Mailing address
PO BOX 936, NORFOLK, VA 23501-0936
(757) 446-8960
(757) 446-5197
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0101055728
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
-019
TRICARE/CHAMPUS
VA
05
—
007308663
—
VA
01
—
05017
NC BC/BS
NC
01
—
14605
SENTARA OPTIMA
VA
01
—
265781
UHC/MAMSI
VA
01
—
283139
ANTHEM
VA
05
—
8905017
—
NC
01
—
PAR
VIRGINIA PREMIER HEALTH
VA
Enumeration date
02/09/2006
Last updated
08/18/2015
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