| NPI | 1639696743 |
|---|---|
| Former Name | JESSICA AARON COLLINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MS 901911) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KS 53-79148-102) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2020009152) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: MS 901911) | |
| Enumeration Date | 2017-08-29 |
| Last Update Date | 2023-04-13 |