Jason Collins NP

NPI 1396883021 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1396883021
Gender Male
Enumeration Date 02/02/2007
Last Updated 04/29/2011
Entity Type Individual
Active Over 9 years ago
Practice Location
2810 AMBASSADOR CAFFERY PKWY
LAFAYETTE LA, 70506-5906, US
Phone (337) 981-2949
Fax
Business Location
200 CORPORATE BLVD STE 201
LAFAYETTE LA, 70508-3870, US
Phone (337) 354-1400
Fax
Toxanomy
Taxonomy Code 363LF0000X
License State Louisiana
License Number 1575
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According to our database, Mr. Jason Collins NP NPI is 1396883021, taxonomy code is 363LF0000X and license number is 1575, license state is located at Louisiana. Jason Collins NP physically located at 2810 Ambassador Caffery Pkwy, Lafayette LA, 70506-5906. NPI Number Jason Collins NP has the Individual type.

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1396883021 NPI number is provided on an as is basis without warranty of any kind. 1396883021 is maintained by the National Plan & Provider Enumeration System. The contents of Jason Collins NP are for informational purposes only.