Individual
MRS. JACQUELINE FAITH COLLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, PNP
Contact information
Practice address
501 10TH ST, NIAGARA FALLS, NY 14301-1800
(716) 285-0045
Mailing address
501 10TH ST, NIAGARA FALLS, NY 14301-1800
(716) 285-0045
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
520157
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
F381666
NY
Other
Enumeration date
09/29/2008
Last updated
09/29/2008
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