TERRELL AMANDA COLLINS


Address: 76 W Jimmie Leeds Rd Ste 201, Galloway, NJ 08205-9417
Phone: 6099095355

TERRELL AMANDA COLLINS (NPI# 1245871334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245871334
Entity Type Individual
Full Name TERRELL AMANDA COLLINS
Other Name TERRELL AMANDA WOOD
Credential PA-C
Practice Address 76 W Jimmie Leeds Rd Ste 201
Galloway
NJ 08205-9417
Mailing Address 835 Giordano Ln
Hammonton
NJ 08037-3321
Practice Telephone 6099095355
Mailing Telephone 8325853358
Enumeration Date 2019-10-01
Last Update Date 2019-10-01
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
NJ Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 76 W JIMMIE LEEDS RD STE 201
City GALLOWAY
State NJ
Zip Code 08205-9417

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1194374504 Marsha J Brown Technician 27 Brampton St, Galloway, NJ 08205 2019-09-09
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1952881450 Center for Family Services, Inc. Community/Behavioral Health 312 East White Horse Pike, Absecon, NJ 08205 2018-08-15
1780178707 Atlantic Community Charter School Case Management 112 South New York Rd, Galloway, NJ 08205 2018-06-22
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1598118903 Career Opportunity Development, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 106 Jim Leeds Road, Galloway, NJ 08205 2016-07-20
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1891300612 Heather C. Williamson Physician Assistant 57 Willis Dr, West Trenton, NJ 08628 2020-09-09
1427660810 Lauren Colacicco Physician Assistant 406 Nj-23 North, Franklin, NJ 07416 2020-08-18
1912525353 Thy T Pham Physician Assistant 2 Capital Way Ste 407, Pennington, NJ 08534-2521 2020-07-13
1982226270 Alexandra Bellisario Physician Assistant 7 Normandy Pl, Colts Neck, NJ 07722-1174 2020-05-11
1497394266 Trevor Paul Physician Assistant 167 Us Highway 9 Ste 5, Englishtown, NJ 07726-9215 2019-12-27
1295371003 Sujin Kim Physician Assistant 500 Grand Ave Ste 201, Englewood, NJ 07631-4968 2019-11-27
1811531767 Kaceyanne Lynn Cerankowski Physician Assistant 3131 Princeton Pike Bldg 4a, Lawrenceville, NJ 08648-2201 2019-11-04
1760024665 Paula Kolodynski Physician Assistant 355 Us Route 22, Springfield Township, NJ 07081 2019-10-11
1013561422 Adrienne Lauren Rinaldi Physician Assistant 1400 State Highway 70, Relievus, Cherry Hill, NJ 08034-0000 2019-07-25
1063984938 Chidimma Nwaogwugwu Physician Assistant 114 N Arlington Ave Apt 203, East Orange, NJ 07017-4223 2018-12-17
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Competitor

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City GALLOWAY
Zip Code 08205

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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