Provider Demographics
NPI:1518840537
Name:COLLARD, VERNETTA D
Entity type:Individual
Prefix:
First Name:VERNETTA
Middle Name:D
Last Name:COLLARD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:844 CARSON RD
Mailing Address - Street 2:
Mailing Address - City:FERGUSON
Mailing Address - State:MO
Mailing Address - Zip Code:63135-2349
Mailing Address - Country:US
Mailing Address - Phone:615-541-3381
Mailing Address - Fax:
Practice Address - Street 1:844 CARSON RD
Practice Address - Street 2:
Practice Address - City:FERGUSON
Practice Address - State:MO
Practice Address - Zip Code:63135-2349
Practice Address - Country:US
Practice Address - Phone:615-541-3381
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-28
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health