Jerre Douglas is a Nurse Practitioner in Wynne, Arkansas. Jerre Douglas practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Jerre Douglas is 1275562688. The last update date is 2011-02-09.
Jerre Douglas's current location address is 1901 Killough Rd N, Wynne, Arkansas. You can contact this provider via phone number 8702388707 and fax number 8702388711. The mailing address for Jerre Douglas is 1901 Killough Rd N, Wynne, Arkansas. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jerre Douglas |
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Address | 1901 Killough Rd N, Wynne, Arkansas |
Phone Number | 8702388707 |
Fax Number | 8702388711 |
Sole Proprietor | N |
Credentials | RNP |
NPI Number Detail
NPI Number | 1275562688 |
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Provider Enumeration Date | 2006-06-30 |
Last Updated Date | 2011-02-09 |
Provider Mailing Address Detail
Address | 1901 Killough Rd N |
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City | Wynne |
State | Arkansas (AR) |
Post Code | 72396 |
Phone Number | 8702388707 |
Fax Number | 8702388711 |
Provider's Primary Taxonomy Detail
Speciality | Nurse Practitioner |
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Taxonomy | 363L00000X |
Licence No | P01329 |
Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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What is the unique 10-digit identifier code assigned to Jerre Douglas by the Centers for Medicare & Medicaid Services?
The Jerre Douglas has been issued the NPI (National Provider Identifier) 1275562688 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Jerre Douglas?
The Jerre Douglas is situated at 1901 Killough Rd N, in the city of Wynne, state of AR, with the zip code 72396.
What is Jerre Douglas's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jerre Douglas is Nurse Practitioner, and the corresponding taxonomy classification code for this specialized field is 363L00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1275562688 to Jerre Douglas?
The Centers for Medicare & Medicaid Services originally issued the 1275562688 to Jerre Douglas on 2006-06-30.
As of what date were the details pertaining to Jerre Douglas last refreshed?
The information related to the Jerre Douglas, including its address, specialty, and other relevant details, was last updated on 2011-02-09.