Individual
MRS. JAMIE LEIGH COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3 HEALTHCARE DR, PHILIPPI, WV 26416-9405
(304) 457-0063
(304) 457-4011
Mailing address
1513 HARRISON AVE, SUITE 18, ELKINS, WV 26241-3356
(304) 637-0180
(304) 637-1004
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
479
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WV 479
WEST VIRGINIA LICENSE
WV
Enumeration date
10/22/2009
Last updated
03/06/2020
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