OrganizationActive
Dr Jackie L Mccollum, MD. P.C.
NPI 1174706808 · Point of Service · Aurora, CO
Provider details
- NPI number
- 1174706808
- Entity type
- Organization
- Primary specialty
- Point of ServiceManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Jackie Mccollum, President(720) 535-6204
- License
- 28393 (CO)
Specialties & taxonomies
Managed Care Organizations
Practice location
12101 E 2nd Ave
Suite 105
Aurora, CO 80011-8327
Phone: (720) 535-6204
Fax: (720) 949-0540
Approximate (ZIP-level) locationGet directions
Mailing address
12101 E 2nd Ave
Aurora, CO 80011-8327
Registry dates
- Enumerated
- 2007-12-17
- Last updated
- 2022-06-10
- Certified
- 2022-06-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.