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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 11 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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