Individual
JILL K COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5169 N RACQUET CLUB PL, MEMPHIS, TN 38117-4526
(901) 573-0053
Mailing address
5169 N RACQUET CLUB PL, MEMPHIS, TN 38117-4526
(901) 573-0053
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LDN0000001093
TN
Other
Enumeration date
07/03/2006
Last updated
09/23/2009
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