Individual
JENNIFER ROSE COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MB, BCH, BAO
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-1664
(570) 271-6045
(570) 271-6542
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
301125
NY
207RH0003X
Hematology & Oncology Physician
Primary
MD480286
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/26/2016
Last updated
10/20/2023
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