IndividualActive
Agnes Collins, PA
NPI 1124463914 · Medical Physician Assistant · Zachary, LA
Provider details
- NPI number
- 1124463914
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- 881 (AL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
18989 Old Scenic Hwy
Zachary, LA 70791-8105
Phone: (225) 654-8850
Approximate (ZIP-level) locationGet directions
Mailing address
5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Additional practice locations (3)
- 3200 16th St NBirmingham, AL 35207-4202Phone: (205) 321-6207
- 430 Fieldstown Rd Ste 104Gardendale, AL 35071Phone: (205) 631-5521
- 5326 Oak St.St. Francisville, LA 70775Phone: (225) 635-5848Fax: (225) 635-5847
Registry dates
- Enumerated
- 2013-05-07
- Last updated
- 2026-03-11
- Certified
- 2026-03-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.