National Provider Identifier Database

JEFFERY P MCCOLLUM, CFNP – NPI #1780740985
Pediatrics


Contact Information

JEFFERY P MCCOLLUM, CFNP
9201 MONTGOMERY BLVD NE
ALBUQUERQUE, NM87111-2468
Phone: 505-298-2505
Fax:
Website:
Specialty Taxonomy Code
* Pediatrics 363LP0200X
Nurse Practitioner 363L00000X

* Indicates primary specialty

NPI Profile & details for JEFFERY P MCCOLLUM

NPI Number 1780740985
Credentials CFNP
Entity Individual
Enumeration date 12/29/2006
Last updated 04/07/2021 - About 5 years ago
Sole proprietor1 No
Identifiers
  • NM License #: CNP-00693
  • NM License #: R33523
  • NM Medicaid: 70526338
Hospital affiliation n/a

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.

Reviews for JEFFERY P MCCOLLUM, CFNP

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