Provider Demographics
NPI:1265677983
Name:COLLINS, ELISABETH LIPPINCOTT (RN, MS, PMHNP - BC)
Entity Type:Individual
Prefix:MISS
First Name:ELISABETH
Middle Name:LIPPINCOTT
Last Name:COLLINS
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Gender:F
Credentials:RN, MS, PMHNP - BC
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Mailing Address - Street 1:3835 N FREEWAY BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95834-1928
Mailing Address - Country:US
Mailing Address - Phone:916-576-7900
Mailing Address - Fax:916-285-0338
Practice Address - Street 1:1212 BROADWAY STE 1200
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94612-1814
Practice Address - Country:US
Practice Address - Phone:510-834-2049
Practice Address - Fax:510-834-2045
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-09
Last Update Date:2018-03-23
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Provider Licenses
StateLicense IDTaxonomies
CA780831163WP0807X
CA22301363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WP0807XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Child & Adolescent