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NPI Code Detail

MEDICARE: JAMIE COLLINS NP

MEDICARE:   JAMIE  COLLINS  NP
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 PractitionerSP033862PA

General Provider Information

NPI Number : 1124992938
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMIE COLLINS NP
Provider Business Mailing Address
First Line : 33 E 33RD ST FL 12
Second Line :
City : NEW YORK
State : NY
Zip : 10016-5362
Country : US
Telephone Number : 888-344-5776
Fax Number : 646-665-3604
Provider Business Practice Location Address
First Line : 1900 MARKET ST FL 1
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19103-3527
Country : US
Telephone Number : 888-344-5776
Fax Number : 646-665-3604
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2025
Last Update Date : 10/24/2025

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