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Individual

JESSICA COLLINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DO

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
70219
MN
207N00000X
Dermatology Physician
Primary
C3394
KY
207ND0101X
MOHS-Micrographic Surgery Physician
10929348-1204
UT
207NS0135X
Procedural Dermatology Physician
10929348-1204
UT

Other

Enumeration date
05/01/2016
Last updated
09/21/2025
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