Provider Demographics
NPI:1316778376
Name:COLLINS, SAMMI JEAN
Entity type:Individual
Prefix:
First Name:SAMMI
Middle Name:JEAN
Last Name:COLLINS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:920 COUNTY LINE RD
Mailing Address - Street 2:
Mailing Address - City:BATESVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47006-9008
Mailing Address - Country:US
Mailing Address - Phone:317-864-4877
Mailing Address - Fax:
Practice Address - Street 1:920 COUNTY LINE RD
Practice Address - Street 2:
Practice Address - City:BATESVILLE
Practice Address - State:IN
Practice Address - Zip Code:47006-9008
Practice Address - Country:US
Practice Address - Phone:317-864-4877
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-12
Last Update Date:2024-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist