Individual
MRS. JESSICA SUE COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
502 MCCARTY LN, JACKSON, OH 45640-7020
(740) 286-5245
(740) 286-7642
Mailing address
PO BOX 188, CHILLICOTHE, OH 45601-0188
(740) 773-4366
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.020778
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0251827
—
OH
Enumeration date
04/12/2017
Last updated
12/12/2023
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