Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shelly A Collins

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1558226852

Shelly A Collins is a Nurse Practitioner in South Boston, Virginia. Qualified in 2024, 2 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in Virginia.

Years since qualifying
2
Licensed in
VA
In the registry since
2025

Practice location Address checks out

504 Wilborn Ave # 5
South Boston, VA 24592-3120
Phone: (434) 517-3400
Fax: (434) 517-3070
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 320 Bobcat Ln, Saxe, VA 23967-5720 — (609) 977-0677

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 0024195715 (VA)

Record details

NPI number1558226852
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 18, 2025
Last updated in NPPESJune 17, 2026
Certification dateJune 17, 2026
Mailing address504 Wilborn Ave # 5, South Boston, VA 24592-3120

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated

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