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Individual

DEBRA COBB COLLINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
5823 HIGHWAY 22, MICHIE, TN 38357-5175
(901) 377-1011
Mailing address
670 GLEN ALLAN CV, COLLIERVILLE, TN 38017-3702
(901) 854-7118

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN55526
TN
363LF0000X
Family Nurse Practitioner
Primary
APN5664
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3731594
TN
Enumeration date
09/26/2006
Last updated
02/24/2016
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