Collier, Jill M

Collier, Jill M is an individual health care provider with primary practice located at 2310 Westowne Ave , Oshkosh WI 54904-7778. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Collier, Jill M can be contacted via phone (920) 731-7445.

Contact Information

Primary practice address
2310 Westowne Ave Oshkosh WI 54904-7778
Phone: (920) 731-7445
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1175-033 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 1175-33 Wisconsin

Profile Details

NPI number 1346335734
LBN Legal business name Collier, Jill M
Credentials PMHNP, APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Apr 3rd, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346335734 NPPES
Wisconsin MEDICAID 43866700

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