| NPI | 1003843277 |
|---|---|
| Former Name | JO ANN COLLIE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: AR 501093 CNS) |
| Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: LA RN 05 3165) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AR B48862) | |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2011-12-30 |