Individual
MRS. JAYNE D. COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
157 TOWNE AVE, PLAINFIELD, VT 05667-9425
(802) 454-8336
Mailing address
PO BOX 320, PLAINFIELD, VT 05667-0320
(802) 454-8336
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
055-0031172
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
43V041
MVP PT PROVIDER
VT
01
—
445721
CIGNA PT PROVIDER
VT
01
—
5227
BCBS PHYSICAL THERAPY
VT
01
—
650014228
MEDICARE RAILROAD
VT
05
—
OVN0070
—
VT
Enumeration date
09/28/2006
Last updated
08/08/2019
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