person
Jerry C Collado, CFNP
Family Nurse Practitioner in Ridgeland, Mississippi
NPI 1407081862

Jerry C Collado is a Family Nurse Practitioner based in Jackson, MS and is specialized in Family. Jerry C Collado practices in Ridgeland, MS and has the professional credentials of CFNP. The NPI Number for Jerry C Collado is 1407081862 and holds a License No. R862534 (Mississippi).

The current practice location address for Jerry C Collado is 6919 Old Canton Rd, Ridgeland, MS and can be reached out via phone at 601-956-0911 and via fax at 601-957-8439. You can also correspond with Jerry C Collado through the mailing address at 2500 NORTH STATE STREET, JACKSON, MS - 39216-4500 (mailing address contact number: 601-815-9528).

Location: 6919 Old Canton Rd, Ridgeland, MS, 39216-4500
person
Provider Profile Details
NPI Number
1407081862
Provider Name
Jerry C Collado
Credential
CFNP
Provider Entity Type
Individual
Gender
Male
Address
6919 Old Canton Rd, Ridgeland, MS, 39216-4500
Phone Number
601-956-0911
Fax Number
601-957-8439
Provider Enumeration Date
05/28/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
302I502230 01 MS MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
6919 Old Canton Rd
City
State
Zip
39157-1268
Phone Number
601-956-0911
Fax Number
601-957-8439
person
Provider Business Mailing Address Details
Address
2500 North State Street
City
State
Zip
39216-4500
Phone Number
601-815-9528
Fax Number
601-984-6439
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
R862534 (Mississippi)
Definition
Definition to come...
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