Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Collaborative Medical Provider Group, PLLC

Organization Family Nurse Practitioner · NPI 1245690809

Collaborative Medical Provider Group, PLLC is a Family Nurse Practitioner in Tucson, Arizona. Licensed in Arizona. Registered with an NPI since 2016.

Licensed in
AZ
In the registry since
2016
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8300 N Westcliff Dr
Tucson, AZ 85743-1043
Phone: (602) 867-1302
Fax: (602) 867-4247
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP2311 (AZ)

Record details

NPI number1245690809
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jody Agins — Sole Member · (602) 867-1302
NPI enumeratedFebruary 24, 2016
Last updated in NPPESFebruary 24, 2016
Mailing address8300 N Westcliff Dr, Tucson, AZ 85743-1043

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