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NPI Code Detail

MEDICARE: JESSICA N COLLINS FNP

MEDICARE: JESSICA N COLLINS FNP
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 Practitioner71005220AIN
2363LF0000XFamily Nurse Practitioner71005220AIN

General Provider Information

NPI Number : 1598161143
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA N COLLINS FNP
Provider Business Mailing Address
First Line : 966 BARTLEY ST
Second Line :
City : JASPER
State : IN
Zip : 47546-2641
Country : US
Telephone Number : 812-354-3458
Fax Number :
Provider Business Practice Location Address
First Line : 966 BARTLEY ST
Second Line :
City : JASPER
State : IN
Zip : 47546-2641
Country : US
Telephone Number : 812-996-7810
Fax Number : 812-996-8465
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/10/2014
Last Update Date : 03/05/2026

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