Individual
MRS. JENNA N COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1220 MISSOURI AVE, JEFFERSONVILLE, IN 47130-3743
(812) 282-6631
Mailing address
PO BOX 125, BUCKNER, KY 40010-0125
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10003654A
IN
363A00000X
Physician Assistant
PA2686
KY
Other
Enumeration date
08/03/2020
Last updated
07/08/2024
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