Individual
MRS. JESSICA MICHELLE COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
106 HARTFORD RD E, FORT GAINES, GA 39851-3638
(229) 768-2633
(229) 768-2263
Mailing address
PO BOX 489, CUTHBERT, GA 39840-0489
(229) 768-2633
(229) 768-2263
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN162833
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1558518472
—
AL
05
—
688551706A
—
GA
Enumeration date
08/21/2008
Last updated
04/27/2009
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