Provider Demographics
NPI:1245742147
Name:COLLINS, ERICKA LEIGH (RN)
Entity Type:Individual
Prefix:MRS
First Name:ERICKA
Middle Name:LEIGH
Last Name:COLLINS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MRS
Other - First Name:ERICKA
Other - Middle Name:LEIGH
Other - Last Name:JACKSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:415 WALTER ST
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:DE
Mailing Address - Zip Code:19947-2325
Mailing Address - Country:US
Mailing Address - Phone:302-519-5747
Mailing Address - Fax:
Practice Address - Street 1:424 SAVANNAH RD
Practice Address - Street 2:
Practice Address - City:LEWES
Practice Address - State:DE
Practice Address - Zip Code:19958-1462
Practice Address - Country:US
Practice Address - Phone:302-645-3300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-01
Last Update Date:2017-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEL1-0045237163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical