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Individual

JILL M COLLIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP, APNP

Contact information

Practice address
2310 WESTOWNE AVE, OSHKOSH, WI 54904-7778
(920) 731-7445
Mailing address
PO BOX 8003, APPLETON, WI 54912
(920) 996-3298

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
1175-033
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1175-33
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
43866700
WI
Enumeration date
10/03/2006
Last updated
04/03/2023
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