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

Jillisa McCollum-Jackson

Individual provider Psychiatric/Mental Health Registered Nurse · NPI 1447114624

Jillisa McCollum-Jackson is a Psychiatric/Mental Health Registered Nurse in Binghamton, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2025

Practice location Address checks out

425 Robinson St
Binghamton, NY 13904-1735
Phone: (717) 379-8187
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Registered Nurse (primary) Taxonomy 163WP0808X · Licence 936820 (NY)

Record details

NPI number1447114624
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 12, 2025
Last updated in NPPESDecember 12, 2025
Certification dateDecember 12, 2025

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