Provider Demographics
NPI:1326529991
Name:COLLINS, ROXANNE (NP)
Entity Type:Individual
Prefix:MRS
First Name:ROXANNE
Middle Name:
Last Name:COLLINS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:532 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35226-1219
Mailing Address - Country:US
Mailing Address - Phone:850-398-3111
Mailing Address - Fax:
Practice Address - Street 1:513 BROOKWOOD BLVD STE 75
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35209-6892
Practice Address - Country:US
Practice Address - Phone:205-250-6805
Practice Address - Fax:205-250-6580
Is Sole Proprietor?:No
Enumeration Date:2018-08-22
Last Update Date:2018-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-149191363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care