Jackie Lynne Mccollum in Aurora - Family Medicine
Jackie Lynne Mccollum - NPI 1316966674
Jackie Lynne Mccollum is a Family Medicine in Aurora, Colorado. Jackie Lynne Mccollum practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jackie Lynne Mccollum is 1316966674. The last update date is 2022-06-10.
Jackie Lynne Mccollum's current location address is 12101 E 2nd Ave Ste 105, Aurora, Colorado. You can contact this provider via phone number 7205356204 and fax number 7209490540. The mailing address for Jackie Lynne Mccollum is 12101 E 2nd Ave Ste 105, Aurora, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jackie Lynne Mccollum |
|---|---|
| Address | 12101 E 2nd Ave Ste 105, Aurora, Colorado |
| Phone Number | 7205356204 |
| Fax Number | 7209490540 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1316966674 |
|---|---|
| Provider Enumeration Date | 2006-07-18 |
| Last Updated Date | 2022-06-10 |
Provider Mailing Address Detail
| Address | 12101 E 2nd Ave Ste 105 |
|---|---|
| City | Aurora |
| State | Colorado (CO) |
| Post Code | 800118328 |
| Phone Number | 7205356204 |
| Fax Number | 7209490540 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 28393 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1283936 | CO | -- |
Post Comment/ Review Below
What is the Jackie Lynne Mccollum's unique identification number?
The Jackie Lynne Mccollum has been assigned the NPI (National Provider Identifier) Number 1316966674 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Jackie Lynne Mccollum's facilities are geographically located?
The facilities of Jackie Lynne Mccollum are physically situated at the following location: 12101 E 2Nd Ave Ste 105, Aurora, CO, 800118328.
What is the Jackie Lynne Mccollum's specialty and taxonomy code?
The Jackie Lynne Mccollum's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1316966674 to Jackie Lynne Mccollum?
The Centers for Medicare & Medicaid Services originally issued the 1316966674 to Jackie Lynne Mccollum on 2006-07-18.
When was the information regarding Jackie Lynne Mccollum most recently updated?
The details pertaining to the Jackie Lynne Mccollum, including its address, specialty, and other relevant information, were last refreshed on 2022-06-10.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC