Individual
MRS. JOANNA R MCCOLLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
1860 CHADWICK DR, SUITE 254, JACKSON, MS 39204-3463
(601) 376-2818
(601) 376-2831
Mailing address
1860 CHADWICK DR, SUITE 254, JACKSON, MS 39204-3463
(601) 376-2818
(601) 376-2831
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R859382
MS
Other
Enumeration date
03/30/2007
Last updated
08/21/2013
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