Provider Demographics
NPI:1972327179
Name:COLLIER, ABBY LEANN
Entity type:Individual
Prefix:
First Name:ABBY
Middle Name:LEANN
Last Name:COLLIER
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 1:350 OLD HICKORY BLVD APT 5335
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37221-3062
Mailing Address - Country:US
Mailing Address - Phone:931-267-5280
Mailing Address - Fax:
Practice Address - Street 1:350 OLD HICKORY BLVD APT 5335
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37221-3062
Practice Address - Country:US
Practice Address - Phone:931-267-5280
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-13
Last Update Date:2024-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN246792163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse