Individual
JOHN MCCOLLUM
Active
Individual
JOHN MCCOLLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163WS0121X
Plastic Surgery Registered Nurse
850445
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
312846
NY
Other
Enumeration date
10/02/2023
Last updated
06/17/2026
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