Jackson, Douglas

Jackson, Douglas is an individual health care provider with primary practice located at 1100 Reid Pkwy , Richmond IN 47374-1157. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Jackson, Douglas can be contacted via phone (765) 983-3000.

Contact Information

Primary practice address
1100 Reid Pkwy Richmond IN 47374-1157
Phone: (765) 983-3000
Fax: (765) 935-8944
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71009145A Indiana

Profile Details

NPI number 1184277857
LBN Legal business name Jackson, Douglas
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2019
Last updated Sep 23rd, 2021 - about 5 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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