Individual
JACQUELINE COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, ACNS-BC
Contact information
Practice address
55 FRUIT ST, MGH ELLISON 16, BOSTON, MA 02114-2621
(617) 726-5398
Mailing address
55 FRUIT ST, MGH ELLISON 16, BOSTON, MA 02114-2621
(617) 726-5398
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
118947
MA
Other
Enumeration date
12/03/2014
Last updated
12/03/2014
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