Mccollum, Jeffery Paul

Mccollum, Jeffery Paul is an individual health care provider with primary practice located at 9201 Montgomery Blvd Ne , Albuquerque NM 87111-2468. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is his primary health care specialty. Mccollum, Jeffery Paul can be contacted via phone (505) 298-2505.

Contact Information

Primary practice address
9201 Montgomery Blvd Ne Albuquerque NM 87111-2468
Phone: (505) 298-2505
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X CNP-00693 New Mexico
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X R33523 New Mexico

Profile Details

NPI number 1780740985
LBN Legal business name Mccollum, Jeffery Paul
Credentials Certified Family Nurse Practitioner (CFNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2006
Last updated Apr 7th, 2021 - 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 1780740985 NPPES
New Mexico MEDICAID 70526338

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