Individual
JESSICA DANIELLE COLLIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5452
(480) 301-8000
Mailing address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5452
(480) 301-8000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
AP11623
AZ
363L00000X
Nurse Practitioner
Primary
RN169554
AZ
390200000X
Student in an Organized Health Care Education/Training Program
RN169554
AZ
Other
Enumeration date
01/28/2019
Last updated
09/03/2020
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