Individual
JILL MARIE COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 334-3850
Mailing address
PO BOX 41538, BOSTON, MA 02241-5348
(800) 225-8885
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA6437
MA
363AM0700X
Medical Physician Assistant
PA01120
RI
363AM0700X
Medical Physician Assistant
PA6437
MA
363AS0400X
Surgical Physician Assistant
PA6437
MA
Other
Enumeration date
02/12/2018
Last updated
12/19/2024
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