Provider Demographics
NPI:1881315380
Name:COLLINS, FLOYD JR
Entity type:Individual
Prefix:
First Name:FLOYD
Middle Name:
Last Name:COLLINS
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3214 SENNADALE LN
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37207-2422
Mailing Address - Country:US
Mailing Address - Phone:615-578-2831
Mailing Address - Fax:
Practice Address - Street 1:3214 SENNADALE LN
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37207-2422
Practice Address - Country:US
Practice Address - Phone:615-578-2831
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-05
Last Update Date:2022-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
376K00000X
TN172A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172A00000XOther Service ProvidersDriverGroup - Single Specialty
No376K00000XNursing Service Related ProvidersNurse's Aide