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Collier Hma Physician Management LLC

Internal Medicine Physician in Estero, FL · enumerated 2021 · authorized official Jennifer Jackson, Sr Dir Prov Enrollment & Onboarding.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1972171759

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Registry record

Entity type Organization (Type 2)
Legal business name Collier Hma Physician Management LLC
Other name <Unavail>
Practice address 24231 Walden Center Dr Ste 100, Estero, FL, 34134
Phone (239) 348-4005
Fax (239) 947-4439
Enumeration date Jun 16, 2021
Last updated in NPPES Mar 9, 2022

Taxonomy & classification

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Primary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Secondary
363AM0700X Medical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Secondary
363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary
363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Jennifer Jackson
Title Sr Dir Prov Enrollment & Onboarding
Phone (615) 465-3334

Other identifiers

Identifier Type State Issuer
275883116 Medicaid FL -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Collier Hma Physician Management LLC?
NPPES lists Jennifer Jackson (Sr Dir Prov Enrollment & Onboarding) as the authorized official for this organization.
What is the NPI number for Collier Hma Physician Management LLC?
The NPI for Collier Hma Physician Management LLC is 1972171759, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-03-09.