Basic Information
Provider Information
NPI: 1235400334
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: COLLINS
FirstName: HYE
MiddleName: YONG
NamePrefix: MRS.
NameSuffix:  
Credential: NP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 124 CEDAR RIDGE LN
Address2:  
City: HENDERSONVILLE
State: TN
PostalCode: 370756720
CountryCode: US
TelephoneNumber: 6158222269
FaxNumber:  
Practice Location
Address1: 2323 21ST AVE S STE 306
Address2:  
City: NASHVILLE
State: TN
PostalCode: 372124930
CountryCode: US
TelephoneNumber: 6156736737
FaxNumber: 8004744039
Other Information
ProviderEnumerationDate: 01/20/2012
LastUpdateDate: 01/20/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000XAPN0000016310TNY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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