Individual
JACQUELINE COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1919 LATHROP STREET, SUITE 222, FAIRBANKS, AK 99701-5942
(907) 456-8191
Mailing address
1406 VALLEY DR, NORTH POLE, AK 99705-5365
(907) 488-7144
(907) 456-8192
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
113150
AK
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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