IndividualActive
Jack Collins
NPI 1962969568 · Driver · Cabot, AR
Provider details
- NPI number
- 1962969568
- Entity type
- Individual
- Primary specialty
- DriverOther Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 909330763 (AR)
Mailing address
1900 Stillwater Dr
Jonesboro, AR 72404-9119
Registry dates
- Enumerated
- 2019-03-01
- Last updated
- 2019-03-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.