NPI | 1235476706 |
---|---|
Professional Name | JENNIFER DOUGLAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60427024) |
Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: WA RN00123804) |
163WS0200X Registered Nurse, School (Licence: WA RN00123804) | |
Enumeration Date | 2013-01-03 |
Last Update Date | 2014-01-15 |