Individual
JENNIFER COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1 MEDICAL CENTER BLVD STE 4E233, CHESTER, PA 19013-3902
(610) 447-7605
Mailing address
1350 EDGMONT AVE STE 1500, CHESTER, PA 19013-3962
(610) 619-8290
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SP019565
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
PA
Enumeration date
11/07/2018
Last updated
11/07/2018
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