Individual
JASMINE DANIELLE COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
3409 GATEWOOD CT APT C, LEXINGTON, KY 40517-2531
(708) 205-2966
Mailing address
3409 GATEWOOD CT APT C, LEXINGTON, KY 40517-2531
(708) 205-2966
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
KY
Other
Enumeration date
06/01/2023
Last updated
06/01/2023
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