Whalio Doctors

NPI 1053458471

Jesse D Collins, CRNA

Practitioner Certified Registered Nurse Anesthetist Springfield, MO

Practice location

Address
1235 E Cherokee St, Springfield, MO 65804-2203
Phone
(417) 820-2829
Fax
(417) 820-8852
Mailing address
PO Box 2580, Springfield, MO 65801-2580

Registered specialties

Certified Registered Nurse Anesthetist Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 103162 (MO)

Registry record

NPI
1053458471
Entity type
Individual
Sex (as registered)
Male
NPI issued
1 Feb 2007
Record last updated
11 Jul 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.