Jennifer Desiree Douglas in Charlotte - Physician Assistant
Jennifer Desiree Douglas - NPI 1023044906
Jennifer Desiree Douglas is a Physician Assistant in Charlotte, North Carolina. Jennifer Desiree Douglas practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jennifer Desiree Douglas is 1023044906. The last update date is 2020-04-14.
Jennifer Desiree Douglas's current location address is Po Box 751461, Charlotte, North Carolina. You can contact this provider via phone number 8437926200. The mailing address for Jennifer Desiree Douglas is Po Box 751461, Charlotte, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer Desiree Douglas |
|---|---|
| Address | Po Box 751461, Charlotte, North Carolina |
| Phone Number | 8437926200 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1023044906 |
|---|---|
| Provider Enumeration Date | 2006-06-23 |
| Last Updated Date | 2020-04-14 |
Provider Mailing Address Detail
| Address | Po Box 751461 |
|---|---|
| City | Charlotte |
| State | North Carolina (NC) |
| Post Code | 282751461 |
| Phone Number | 8437926200 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | MA051653 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Post Comment/ Review Below
What is the Jennifer Desiree Douglas's 1023044906?
The Jennifer Desiree Douglas's NPI (National Provider Identifier) Number is 1023044906. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Jennifer Desiree Douglas located?
The Jennifer Desiree Douglas is located at Po Box 751461, Charlotte, NC 282751461.
What is the area of specialization for Jennifer Desiree Douglas, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jennifer Desiree Douglas is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1023044906 to Jennifer Desiree Douglas?
The Jennifer Desiree Douglas received its 1023044906 assignment from the Centers for Medicare & Medicaid Services on 2006-06-23.
As of what date was the information pertaining to Jennifer Desiree Douglas, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jennifer Desiree Douglas, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-04-14.