Douglas, Jennifer G

Douglas, Jennifer G is an sole proprietor health care provider with primary practice located at 10055 Red Run Blvd Ste 200 , Owings Mills MD 21117-4867. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Douglas, Jennifer G can be contacted via phone (240) 345-1055.

Contact Information

Primary practice address
10055 Red Run Blvd Ste 200 Owings Mills MD 21117-4867
Phone: (240) 345-1055
Fax: (240) 752-0849
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X R250262 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R250262 Maryland

Profile Details

NPI number 1114559036
LBN Legal business name Douglas, Jennifer G
Credentials CRNP, PMHNP, FNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 8th, 2020
Last updated Jul 14th, 2026 - about 3 months 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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