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1780089649
LATASHA COLLINS
JACKSON, MS
NPI
1780089649
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS 871496)
Enumeration Date
2014-11-04
Last Update Date
2024-07-10
Business Address
LATASHA COLLINS CFNP
969 LAKELAND DR
JACKSON, MS 39216-4606
Phone number: 601-200-3631
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Mailing Address
LATASHA COLLINS CFNP
5959 S SHERWOOD FOREST BLVD
BATON ROUGE, LA 70816-6038
Phone number: 601-200-3631
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