Provider Demographics
NPI:1982493326
Name:COLLIER, DAVINA JANIELLE
Entity type:Individual
Prefix:
First Name:DAVINA
Middle Name:JANIELLE
Last Name:COLLIER
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5403 S 28TH AVE
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68107-3404
Mailing Address - Country:US
Mailing Address - Phone:402-850-6105
Mailing Address - Fax:
Practice Address - Street 1:7051 CROWN POINT AVE APT 320
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68104-5304
Practice Address - Country:US
Practice Address - Phone:402-515-6892
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-02
Last Update Date:2025-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant