| Doctor Name: | MRS. JESSICA MICHELLE COLLINS |
| NPI Number: | 1558518472 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN |
| License Number: | RN162833 |
| Business Practice Address: | 106 Hartford Rd E Fort Gaines, GA - 398513638 |
| Business Phone Number: | 2297682633 |
| Business Fax Number: | 2297682263 |
| Mailing Address: | Po Box 489, CUTHBERT |
| State: | GA |
| Postal Code: | 398400489 |
| Phone Number: | 2297682633 |
| Fax Number: | 2297682263 |
| NPI Enumeration Date: | 08/21/2008 |
| NPI Last Update Date: | 04/27/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | RN162833 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |