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

Dr Jackie L McCollum, MD PC

Organization Point of Service · NPI 1174706808

Dr Jackie L McCollum, MD PC is a Point of Service in Aurora, Colorado. Licensed in Colorado. Registered with an NPI since 2007.

Licensed in
CO
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12101 E 2nd Ave Ste 105
Aurora, CO 80011-8327
Phone: (720) 535-6204
Fax: (720) 949-0540
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Point of Service (primary) Taxonomy 305S00000X · Licence 28393 (CO)

Record details

NPI number1174706808
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jackie McCollum — President · (720) 535-6204
NPI enumeratedDecember 17, 2007
Last updated in NPPESJune 10, 2022
Certification dateJune 10, 2022
Mailing address12101 E 2nd Ave, Suite 105, Aurora, CO 80011-8327

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