Provider Demographics
NPI:1972740587
Name:SMITH COLLINS, JANE ANN (LPN)
Entity Type:Individual
Prefix:MRS
First Name:JANE
Middle Name:ANN
Last Name:SMITH COLLINS
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3117 WASHINGTON PIKE
Mailing Address - Street 2:SUITE #200
Mailing Address - City:BRIDGEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15017-1434
Mailing Address - Country:US
Mailing Address - Phone:412-221-1091
Mailing Address - Fax:412-221-2939
Practice Address - Street 1:3117 WASHINGTON PIKE
Practice Address - Street 2:SUITE #200
Practice Address - City:BRIDGEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15017-1434
Practice Address - Country:US
Practice Address - Phone:412-221-1091
Practice Address - Fax:412-221-2939
Is Sole Proprietor?:No
Enumeration Date:2009-01-20
Last Update Date:2009-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPN093038L364SP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Adult