Individual
MARY J. COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
226 MEDICAL PLAZA LN, WHITESBURG, KY 41858-7425
(606) 633-4871
(606) 633-0883
Mailing address
PO BOX 40, WHITESBURG, KY 41858-0040
(606) 633-4823
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3008031
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100258810
—
KY
Enumeration date
09/16/2013
Last updated
05/05/2021
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