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Individual

MRS. JESSICA ELLA COLLINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
144 MEDICAL CENTER DR, STE B, COPPERHILL, TN 37317-5005
(423) 496-9214
(423) 496-7809
Mailing address
144 MEDICAL CENTER DR, STE B, COPPERHILL, TN 37317-5005
(423) 496-9214
(423) 496-7809

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
004460
GA
363A00000X
Physician Assistant
Primary
PA0000003154
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
193898892A
GA
05
Q026000
TN
Enumeration date
05/12/2006
Last updated
04/03/2023
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