NPI Registry.org

Jean Douglas

NPI Registration Record

Provider / OrganizationNPIDate Certified
JEAN DOUGLAS18915195182024-11-09

Jean Douglas is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1891519518. Registration indicates Jean Douglas is a provider of services with a specialization in Nursing Service Providers, Registered Nurse (Registered Nurse, ) (All Other Specialties & Provider Types, ) (Registered Nurse, Nursing Service Providers)

Entity TypeIndividual
Provider Name Jean Douglas
Practice Office Address10643 GENTRY LN SW
ALBUQUERQUE, NM US
Practice Office Telephone5052755300
Mailing Address10643 GENTRY LN SW
ALBUQUERQUE, NM 871213687 US
Business Telephone5052755300
HPT Codes
CodePractice
License No
State
163W00000X PRIMARY
Nursing Service Providers
Registered Nurse
Registered Nurse

All Other Specialties & Provider Types

Registered Nurse
Nursing Service Providers
64385
NM
OPI Codes
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