Individual
DR. JACKIE LYNNE MCCOLLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
12101 E 2ND AVE STE 105, AURORA, CO 80011-8328
(720) 535-6204
(720) 949-0540
Mailing address
12101 E 2ND AVE STE 105, AURORA, CO 80011-8328
(720) 535-6204
(720) 949-0540
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
28393
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01283936
—
CO
Enumeration date
07/18/2006
Last updated
06/10/2022
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