JILL ANN DOUGLAS

STONY BROOK, NY
NPI1548389075
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NY  F332162)
Enumeration Date2007-03-28
Last Update Date2007-07-08
Business Address
-- JILL ANN DOUGLAS NP
STONY BROOK UNIVERSITY MEDICAL CTR HSC T-15 RM080
STONY BROOK, NY 11794-8153
Phone number: 631-444-4793
Mailing Address
-- JILL ANN DOUGLAS NP
308 GIBBS POND RD
NESCONSET, NY 11767-2200
Phone number: 631-444-4793