JACKIE L COLLINS

PLYMOUTH, MN
NPI1023086568
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MN  R128366-4)
Enumeration Date2006-03-10
Last Update Date2019-06-18
Business Address
JACKIE L COLLINS CNP
2805 CAMPUS DR STE 105
PLYMOUTH, MN 55441-2677
Phone number: 763-519-7440
Mailing Address
JACKIE L COLLINS CNP
2550 UNIVERSITY AVE W STE 110N
SAINT PAUL, MN 55114-2001
Phone number: 651-602-5311