MEDICARE: JESSICA COLLINS

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
1	164W00000X	Licensed Practical Nurse	LPN.148966.MEDS-IV	OH

General Provider Information

NPI Number	:	1699626499
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA COLLINS

Provider Business Mailing Address
First Line	:	3917 VANCE RD
Second Line	:
City	:	MORAINE
State	:	OH
Zip	:	45439-1240
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3917 VANCE RD
Second Line	:
City	:	MORAINE
State	:	OH
Zip	:	45439-1240
Country	:	US
Telephone Number	:	937-308-9201
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/06/2026
Last Update Date	:	02/06/2026

Similar Medicare Providers

1043318736 — DR. JAMIE W CHU MD
Practice Location Address:

5350 LAMME RD
MORAINE, OH
45439-3215

Practice Phone: 937-534-4632
Practice Fax:

1851396659 — DR. MARK T RORRER D.O.
Practice Location Address:

3033 KETTERING BLVD , SUITE 100
MORAINE, OH
45439-1962

Practice Phone: 937-293-2133
Practice Fax: 937-293-2161

1619972254 — COMPUNET CLINICAL LABORATORIES LLC
Practice Location Address:

2308 SANDRIDGE DR
MORAINE, OH
45439-1847

Practice Phone: 937-296-0844
Practice Fax: 937-297-8232

1578563128 — DAVID D GOLDBERG D.O.
Practice Location Address:

3033 KETTERING BLVD , SUITE 100
MORAINE, OH
45439-1962

Practice Phone: 937-293-2133
Practice Fax: 937-293-2161

1538169776 — CINDY ANN SMITH D.O.
Practice Location Address:

3033 KETTERING BLVD STE 100
MORAINE, OH
45439

Practice Phone: 937-293-2133
Practice Fax:

1477546364 — M LYNN LOVING M.D.
Practice Location Address:

5350 LAMME RD
MORAINE, OH
45439-3215

Practice Phone: 937-451-3123
Practice Fax: 937-350-6477

Directions to “ JESSICA COLLINS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.