Most Relevant Information
Provider Data
| NPI Number: | 1003331158 |
| Provider Name: | JASON COLLINS NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LA2200X |
| Specialty: | Nurse Practitioner |
| License Number: | 21228 |
Most Important Dates
| Enumeration Date: | 08/10/2017 |
| Last Updated: | 05/23/2021 |
Provider Practice Location
701 GROVE RD FL 1
GREENVILLE
SC
296054210
Practice Location Phone/Fax
| Phone: | 8644557000 |
| Fax: |
Provider Mailing Location
300 E MCBEE AVE FL 4
GREENVILLE
SC
296012842
Provider Mailing Phone/Fax
| Phone: | 8645228617 |
| Fax: |