Provider Demographics
NPI:1841068855
Name:COLLINS, ALEXANDRA JANE (FNP-C)
Entity type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:JANE
Last Name:COLLINS
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 6TH ST STE 202
Mailing Address - Street 2:
Mailing Address - City:CORALVILLE
Mailing Address - State:IA
Mailing Address - Zip Code:52241-1757
Mailing Address - Country:US
Mailing Address - Phone:319-337-4566
Mailing Address - Fax:319-337-4766
Practice Address - Street 1:1100 6TH ST STE 202
Practice Address - Street 2:
Practice Address - City:CORALVILLE
Practice Address - State:IA
Practice Address - Zip Code:52241-1757
Practice Address - Country:US
Practice Address - Phone:319-337-4566
Practice Address - Fax:319-337-4766
Is Sole Proprietor?:No
Enumeration Date:2023-12-19
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA177315363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner