Individual
JACLYN C. COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1155 MAIN ST, YOUNG HARRIS, GA 30582
(706) 439-6873
(706) 439-6874
Mailing address
35 HOSPITAL RD, BLAIRSVILLE, GA 30512-3139
(706) 745-2111
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN208019
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003161419A
—
GA
05
—
1124424536
—
NC
Enumeration date
11/12/2014
Last updated
01/16/2019
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