ELISE R DOUGLASS

HAMPTON, VA
NPI1376308957
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: VA  0024189032)
Enumeration Date2024-02-14
Last Update Date2025-03-10
Business Address
ELISE R DOUGLASS PMHNP-BC, APRN
400 MEDICAL DR
HAMPTON, VA 23666-1767
Phone number: 757-788-0400
Mailing Address
ELISE R DOUGLASS PMHNP-BC, APRN
300 MEDICAL DR
HAMPTON, VA 23666-1765
Phone number: 757-788-0300
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