person
Jackie L Collins, CNP
Family Nurse Practitioner in Plymouth, Minnesota
NPI 1023086568

Jackie L Collins is a Family Nurse Practitioner based in Saint Paul, MN and is specialized in Family. Jackie L Collins practices in Plymouth, MN and has the professional credentials of CNP. The NPI Number for Jackie L Collins is 1023086568 and holds a License No. R128366-4 (Minnesota).

The current practice location address for Jackie L Collins is 2805 Campus Dr Ste 105, Plymouth, MN and can be reached out via phone at 763-519-7440 and via fax at 763-519-7445.

Location: 2805 Campus Dr Ste 105, Plymouth, MN, 55114-2001
person
Provider Profile Details
NPI Number
1023086568
Provider Name
Jackie L Collins
Credential
CNP
Provider Entity Type
Individual
Gender
Female
Address
2805 Campus Dr Ste 105, Plymouth, MN, 55114-2001
Phone Number
763-519-7440
Fax Number
763-519-7445
Provider Enumeration Date
03/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1032598 01 MN PREFERREDONE
151404 01 MN UCARE MN
737611100 05 MN
404934900 05 MD
41184100 05 WI
0105787 01 MN MEDICA
67B81CO 01 MN BLUE CROSS BLUE SHIELD MN
HP32641 01 MN HEALTHPARTNERS
1241627 01 MN AMERICA'S PPO
institution
Provider Business Practice Location Address Details
Address
2805 Campus Dr Ste 105
City
State
Zip
55441-2677
Phone Number
763-519-7440
Fax Number
763-519-7445
person
Provider Business Mailing Address Details
Address
2805 Campus Dr Ste 105
City
State
Zip
55441-2677
Phone Number
763-519-7440
Fax Number
763-519-7445
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
R128366-4 (Minnesota)
Definition
Definition to come...
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