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Contact Information

JASON COLLINS, NP
701 GROVE RD FL 1
GREENVILLE, SC29605-4210
 Phone: 864-455-7000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gerontology

363LG0600X 50 Nurse Practitioner
 

Adult Health

363LA2200X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for JASON COLLINS · (Male)

NPI Number 1003331158
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 08/10/2017
Last updated 05/23/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • SC License # 21228
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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