Provider Demographics
NPI:1932729316
Name:COLLINS, JILL MARIE (DNP, APRN, FNP-BC)
Entity type:Individual
Prefix:DR
First Name:JILL
Middle Name:MARIE
Last Name:COLLINS
Suffix:
Gender:F
Credentials:DNP, APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:449 N LIMESTONE
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40508-1875
Mailing Address - Country:US
Mailing Address - Phone:703-475-6050
Mailing Address - Fax:
Practice Address - Street 1:449 N LIMESTONE
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40508-1875
Practice Address - Country:US
Practice Address - Phone:703-475-6050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-25
Last Update Date:2025-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC285300163W00000X, 163WR0006X
KY4023223163WR0006X, 363LF0000X
VA0024181582363L00000X
NCCOLL-G68QT363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
No163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner