Individual
JESSICA DAWN COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1000 N LEE AVE, RM 1921, OKLAHOMA CITY, OK 73102-1036
(405) 272-6406
(405) 272-6075
Mailing address
PO BOX 60248, OKLAHOMA CITY, OK 73146-0248
(405) 272-6406
(405) 272-6075
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1797
OK
Other
Enumeration date
01/22/2009
Last updated
03/04/2009
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