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General NPI Number Information
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NPI Number | 1982137055
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Entity Type | Individual
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Provider Name | JAMIE LYNN COLLINS
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Gender | Female
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Dates
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Enumeration Date | 04/06/2017
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Last Update Date | 04/07/2025
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Provider Practice Location Address
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Address Line | 6160 S YALE AVE FL 1
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City | TULSA
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State | OK
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Zip | 74136-1930
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Country | US
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Telephone | 918-495-2600
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Fax |
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Provider Business Mailing Address
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Address Line | 10720 E 122ND ST N
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City | COLLINSVILLE
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State | OK
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Zip | 74021-5557
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Country | US
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Telephone | 918-704-0770
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416A0800X
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Taxonomy Name | Air Ambulance
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License Number |
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 91103
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License Number State | OK
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | R0091103
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License Number State | OK
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