MRS. JESSICA MICHELLE COLLINS APRN NPI 1558518472

NPI Information

NPI: 1558518472
Provider Name: MRS. JESSICA MICHELLE COLLINS, APRN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
106 HARTFORD RD E
FORT GAINES, GA
ZIP 39851
Phone: (229) 768-2633
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MRS. Jessica Michelle Collins, APRN is a family nurse practitioner in Fort Gaines, GA. MRS. Jessica Michelle Collins, APRN NPI is 1558518472. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

106 HARTFORD RD E
FORT GAINES, GA
ZIP 39851-638
Phone: (229) 768-2633
Fax: (229) 768-2263

The NPI 1558518472 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/21/2008 and was last updated on 4/27/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	RN162833	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	511I500680	MEDICARE PIN	GEORGIA
2	1558518472	MEDICAID	ALABAMA
3	688551706A	MEDICAID	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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