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CAROL D COLLINS
NPI 1629018775
Nurse Practitioner - Family in Memphis, TN

Active since June 07, 2006
1030 JEFFERSON AVE, MEMPHIS, TN 38104(901) 523-8990(901) 577-7576 Get Directions Write a Review

NPPES record last updated: April 21, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Carol D Collins NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAROL D COLLINS (NPI 1629018775) is an individual family provider in Memphis, Tennessee, licensed in Mississippi (R854467) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1629018775
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCAROL D COLLINS
Location Address1030 JEFFERSON AVEMemphis, TN 38104-2127
Mailing Address1652 Madison Ave, Bowden Internal MedicineMemphis, TN 38104-2508 · (901) 278-9538 · Fax (901) 726-9883
Phone(901) 523-8990
Fax(901) 577-7576
Sole ProprietorYes
Enumeration DateJune 7, 2006
Last NPPES UpdateApril 21, 2020
NPPES CertifiedApril 21, 2020
✔ NPI 1629018775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MS · R854467
1030 JEFFERSON AVE, Memphis, TN 38104
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS DEBORAH GERISE KARTHEISER RN
Registered Nurse (Psychiatric/Mental Health)
1030 JEFFERSON AVE
MEMPHIS, TN 38104
Shelby County (901) 523-8990
MRS. KENYETTA D. MCINTOSH-JONES LCSW
Social Worker (Clinical)
1030 JEFFERSON AVE
MEMPHIS, TN 38104
Shelby County (901) 523-8990
KELSEY A TIEMANN PHARM.D.
Pharmacist
1030 JEFFERSON AVE
MEMPHIS, TN 38104
Shelby County (901) 523-8990
PENELOPE BLAND
Pharmacist
1030 JEFFERSON AVE
MEMPHIS, TN 38104
Shelby County (901) 523-8990
DR. MAXWELL TREVOR MCCLURE PT
Physical Medicine & Rehabilitation
1030 JEFFERSON AVE
MEMPHIS, TN 38104
Shelby County (901) 523-8990
CAMEKA SHANTA MOORE RN
Registered Nurse
1030 JEFFERSON AVE
MEMPHIS, TN 38104
Shelby County (901) 523-8990
DANIELLE NICOLE TAYLOR
Pharmacy Technician
1030 JEFFERSON AVE
MEMPHIS, TN 38104
Shelby County (901) 523-8990
DR. ROBERT WOOD SMITH DDS
Dentist (General Practice)
1030 JEFFERSON AVE
MEMPHIS, TN 38104
Shelby County (901) 523-8990

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carol Collins's NPI number?

The NPI number for Carol Collins is 1629018775. It was assigned to this individual provider in the NPPES registry on June 7, 2006.

Where is Carol Collins located?

Carol Collins practices at 1030 Jefferson Ave, Memphis, TN 38104. The listed phone number is (901) 523-8990.

What is Carol Collins's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Carol Collins was last updated on April 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.