Individual
MARY LETA COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
120 WALNUT COMMONS LN, SUITE C, COOKEVILLE, TN 38501-6035
(931) 526-5777
(931) 526-9749
Mailing address
501 GREAT CIRCLE RD, STE. 200, NASHVILLE, TN 37228
(931) 526-5777
(931) 526-5207
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APN000005798
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3343249
—
TN
Enumeration date
10/03/2006
Last updated
08/14/2015
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