Provider Demographics
NPI:1336681782
Name:HEMMINGS, COLETTE (DNP)
Entity Type:Individual
Prefix:MRS
First Name:COLETTE
Middle Name:
Last Name:HEMMINGS
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:MRS
Other - First Name:COLETTE
Other - Middle Name:
Other - Last Name:HEMMINGS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DNP, AGNP
Mailing Address - Street 1:7607 SHADY MAPLE WAY
Mailing Address - Street 2:
Mailing Address - City:STONECREST
Mailing Address - State:GA
Mailing Address - Zip Code:30038-3581
Mailing Address - Country:US
Mailing Address - Phone:470-564-8483
Mailing Address - Fax:
Practice Address - Street 1:7607 SHADY MAPLE WAY
Practice Address - Street 2:
Practice Address - City:STONECREST
Practice Address - State:GA
Practice Address - Zip Code:30038-3581
Practice Address - Country:US
Practice Address - Phone:470-564-8483
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-15
Last Update Date:2020-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN115842363LA2200X, 363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology