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Individual

MACY MICHELLE COLLINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
200 S CEDAR ST, SHELBYVILLE, IL 62565-1838
(217) 774-4400
(217) 774-6445
Mailing address
200 SOUTH CEDAR STREET, SHELBYVILLE, IL 62565

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209030396
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
RN286821
GA

Other

Enumeration date
09/01/2023
Last updated
10/09/2024
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