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

Jacob Daniel Collins

Individual provider Medical-Surgical Registered Nurse · NPI 1891455531

Jacob Daniel Collins is a Medical-Surgical Registered Nurse in Phoenix, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2021

Practice location Address checks out

650 E Indian School Rd
Phoenix, AZ 85012-1839
Phone: (602) 277-5551
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical-Surgical Registered Nurse (primary) Taxonomy 163WM0705X · Licence 242729 (AZ)

Record details

NPI number1891455531
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 21, 2021
Last updated in NPPESDecember 21, 2021
Certification dateDecember 21, 2021
Mailing address7950 E Starlight Way Unit 203, Scottsdale, AZ 85250-6135

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