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Individual

JESSIKA COLLINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
405 W JACKSON ST, CARBONDALE, IL 62901-1462
(618) 549-0721
(618) 529-0431
Mailing address
405 W JACKSON ST, CARBONDALE, IL 62901-1462
(618) 549-0721

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209031150
IL

Other

Enumeration date
02/19/2025
Last updated
10/22/2025
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