Individual
JANE COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
639 N MULBERRY ST, ELIZABETHTOWN, KY 42701-1931
(270) 737-4600
(270) 737-1722
Mailing address
220 WALNUT CREEK RD, ELIZABETHTOWN, KY 42701-8760
(270) 737-4600
(270) 737-1722
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1097133
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000198792
BCBS
KY
01
—
1146751
PASSPORT
KY
05
—
74003674
—
KY
Enumeration date
04/25/2006
Last updated
01/09/2013
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