JAYLISA JASMINIQUE COLLINS FNP NPI 1568267441

NPI Information

  • NPI: 1568267441
  • Provider Name: JAYLISA JASMINIQUE COLLINS, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4485 FULTON INDUSTRIAL BLVD SW STE A1
    ATLANTA, GA
    ZIP 30336
  • Phone: (470) 914-6244

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NPI Details

Jaylisa Jasminique Collins, FNP is a family nurse practitioner in Atlanta, GA with 3 years of experience. Jaylisa Jasminique Collins, FNP NPI is 1568267441. 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:

4485 FULTON INDUSTRIAL BLVD SW STE A1
ATLANTA, GA
ZIP 30336-949
Phone: (470) 914-6244

The NPI 1568267441 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 2/15/2025 and was last updated on 2/15/2025.

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
1163W00000XRegistered NurseRN333717GEORGIANo
2363LF0000XNurse PractitionerFamilyRN333717GEORGIAYes

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: 11/21/2025

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