Individual
JACLYN RAE COLLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3625 S HICKORY ST STE 102, LOXLEY, AL 36551-4590
(251) 677-6800
(251) 677-6801
Mailing address
PO BOX 689022, FRANKLIN, TN 37068-9022
(629) 235-9745
(615) 628-6877
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-153844
AL
Other
Enumeration date
02/28/2018
Last updated
08/01/2025
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