Provider Demographics
NPI:1003363896
Name:COLLINS, DEBRA TOOMBS (FNP-BC)
Entity type:Individual
Prefix:
First Name:DEBRA
Middle Name:TOOMBS
Last Name:COLLINS
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:DEBRA
Other - Middle Name:A
Other - Last Name:COLLINS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1017 COLLINS LN
Mailing Address - Street 2:
Mailing Address - City:CLOVER
Mailing Address - State:VA
Mailing Address - Zip Code:24534-3057
Mailing Address - Country:US
Mailing Address - Phone:434-579-7670
Mailing Address - Fax:
Practice Address - Street 1:2232 WILBORN AVE STE G
Practice Address - Street 2:
Practice Address - City:SOUTH BOSTON
Practice Address - State:VA
Practice Address - Zip Code:24592-1662
Practice Address - Country:US
Practice Address - Phone:434-517-8140
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-08
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024173933363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily