Individual
MR. JASON COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
2810 AMBASSADOR CAFFERY PKWY, LAFAYETTE, LA 70506-5906
(337) 981-2949
Mailing address
200 CORPORATE BLVD STE 201, LAFAYETTE, LA 70508-3870
(337) 354-1400
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1575
LA
Other
Enumeration date
02/02/2007
Last updated
04/29/2011
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