Douglas, Jennifer
Douglas, Jennifer is an sole proprietor health care provider with primary practice located at 1520 Kelly Pl Ste 220 , Walla Walla WA 99362-8607. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Administrator, Nursing Service Providers / School, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Douglas, Jennifer can be contacted via phone (509) 520-2924.Contact Information
Primary practice address
1520 Kelly Pl Ste 220
Walla Walla WA 99362-8607
Phone: (509) 520-2924
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Administrator | 163WA2000X | RN00123804 | Washington |
| Nursing Service Providers / School | 163WS0200X | RN00123804 | Washington |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | AP60427024 | Washington |
Profile Details
| NPI number | 1235476706 |
|---|---|
| LBN Legal business name | Douglas, Jennifer |
| Credentials | RN00123804 |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 3rd, 2013 |
| Last updated | Jan 15th, 2014 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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