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NPI Code Detail

MEDICARE: MRS. JENNIFER MARIE COLLIER FNP-BC

MEDICARE:  MRS. JENNIFER MARIE COLLIER  FNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse PractitionerRN234751GA

General Provider Information

NPI Number : 1689387516
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JENNIFER MARIE COLLIER FNP-BC
Provider Business Mailing Address
First Line : PO BOX 117598
Second Line :
City : ATLANTA
State : GA
Zip : 30368-7598
Country : US
Telephone Number : 770-442-1911
Fax Number : 770-442-0306
Provider Business Practice Location Address
First Line : 106 CORPORATE SQ
Second Line :
City : DUBLIN
State : GA
Zip : 31021-4244
Country : US
Telephone Number : 478-272-2599
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2023
Last Update Date : 04/06/2026

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Directions to “ MRS. JENNIFER MARIE COLLIER FNP-BC” Practice Location

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