Individual
JENNIFER J COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN, CNM
Contact information
Practice address
6 WESTPORT CT, BLOOMINGTON, IL 61704-8233
(309) 722-4020
(309) 740-4440
Mailing address
26141 E WILDLIFE DR, HOPEDALE, IL 61747-9232
(309) 532-3103
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
209.018406
IL
367A00000X
Advanced Practice Midwife
Primary
209018406
IL
Other
Enumeration date
11/20/2018
Last updated
06/15/2023
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