Individual
JENNIFER LEIGH COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 724-1739
Mailing address
11 HILL ST APT 3, SOMERVILLE, MA 02144-1568
(508) 404-8163
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2317192
MA
363L00000X
Nurse Practitioner
RN2317192
MA
Other
Enumeration date
08/09/2023
Last updated
06/11/2024
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