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NPI Code Detail

MEDICARE: JENNIFER RENEE KOLLKER NP

MEDICARE: JENNIFER RENEE KOLLKER 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 Practitioner3007366KY
2363L00000XNurse Practitioner71002888AIN

General Provider Information

NPI Number : 1720229289
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER RENEE KOLLKER NP
Provider Business Mailing Address
First Line : 4200 REGENT ST STE 200
Second Line :
City : COLUMBUS
State : OH
Zip : 43219-6229
Country : US
Telephone Number : 877-870-1775
Fax Number : 614-968-8840
Provider Business Practice Location Address
First Line : 4200 REGENT ST STE 200
Second Line :
City : COLUMBUS
State : OH
Zip : 43219-6229
Country : US
Telephone Number : 877-870-1775
Fax Number : 614-968-8840
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/13/2009
Last Update Date : 07/23/2024

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Directions to “ JENNIFER RENEE KOLLKER NP” Practice Location

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