Individual
MRS. KENYATTA NICOLE COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
50 KELLY RD, MCDONOUGH, GA 30253-6097
(770) 957-1887
(770) 957-6864
Mailing address
50 KELLY RD, MCDONOUGH, GA 30253-6097
(770) 957-1887
(770) 957-6864
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN245103
GA
Other
Enumeration date
07/03/2019
Last updated
09/17/2019
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