MR. JEFFERY PAUL MCCOLLUM CFNP
NPI 1780740985
Nurse Practitioner - Pediatrics in Albuquerque, NM

Active since December 29, 2006
9201 MONTGOMERY BLVD NE, ALBUQUERQUE, NM 87111(505) 298-2505 Get Directions Write a Review

NPPES record last updated: April 7, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Jeffery Paul Mccollum Cfnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JEFFERY PAUL MCCOLLUM CFNP (NPI 1780740985) is an individual pediatrics provider in Albuquerque, New Mexico, licensed in New Mexico (R33523) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1780740985
Entity TypeIndividualMale
Primary Taxonomy363LP0200X
Provider Legal NameMR. JEFFERY PAUL MCCOLLUMCredential: CFNP
Location Address9201 MONTGOMERY BLVD NEAlbuquerque, NM 87111-2468
Mailing Address9201 Montgomery Blvd NeAlbuquerque, NM 87111-2468 · (505) 298-2505
Sole ProprietorNo
Enumeration DateDecember 29, 2006
Last NPPES UpdateApril 7, 2021
NPPES CertifiedApril 7, 2021
NPI 1780740985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in NM · R33523
Also ListedNurse PractitionerTaxonomy 363L00000X · License CNP-00693 (NM)
9201 MONTGOMERY BLVD NE, Albuquerque, NM 87111

Other Identifiers 1

Medicaid70526338NM

Accepted Insurance

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist (Orthopedic)
9201 MONTGOMERY BLVD NE, SUITE 302
ALBUQUERQUE, NM 87111
Physical Therapist
9201 MONTGOMERY BLVD NE, SUITE 302
ALBUQUERQUE, NM 87111
Pediatrics
9201 MONTGOMERY BLVD NE, SUITE 201
ALBUQUERQUE, NM 87111
Physical Therapist (Orthopedic)
9201 MONTGOMERY BLVD NE, SUITE 302
ALBUQUERQUE, NM 87111
Physical Therapist
9201 MONTGOMERY BLVD NE, SUITE 302
ALBUQUERQUE, NM 87111
Physician Assistant (Medical)
9201 MONTGOMERY BLVD NE
ALBUQUERQUE, NM 87111
Physician Assistant
9201 MONTGOMERY BLVD NE, AFTER HOURS PEDIATRICS SUITE 201
ALBUQUERQUE, NM 87111
Physical Therapist (Orthopedic)
9201 MONTGOMERY BLVD NE, SUITE 302
ALBUQUERQUE, NM 87111

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780740985, enumerated as an "individual" on December 29, 2006.

The provider is located at 9201 MONTGOMERY BLVD NE ALBUQUERQUE, NM 87111 and the phone number is (505) 298-2505.

Nurse Practitioner with taxonomy code 363LP0200X and a focus in Pediatrics.

The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Ambetter. Please consult your insurance carrier or call the provider to verify.