JILL LYNN COLLIER CRNP NPI 1700121563

NPI Information

NPI: 1700121563
Provider Name: JILL LYNN COLLIER, CRNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: ALTA CALIFORNIA MEDICAL GROUP INC

PECOS Registration: Yes

Address:
2925 SYCAMORE DR
SIMI VALLEY, CA
ZIP 93065
Phone: (805) 578-9620
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Jill Lynn Collier, CRNP is a family nurse practitioner in Simi Valley, CA with 11 years of experience. Jill Lynn Collier, CRNP NPI is 1700121563. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2925 SYCAMORE DR
SIMI VALLEY, CA
ZIP 93065-207
Phone: (805) 578-9620

The NPI 1700121563 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/5/2012 and was last updated on 2/13/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		R180429	MARYLAND	No
2	363LF0000X	Nurse Practitioner	Family	R180429	MARYLAND	No
3	363LF0000X	Nurse Practitioner	Family	95004338	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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