Individual provider · Type 1 NPI

Jennifer Desiree Douglas, PA

Physician Assistant · Charleston, SC

NPI number 1023044906 Active

Practice location

171 Ashley Ave
Charleston, SC 29425-8908

Call (843) 792-1414 Map

Mailing address

PO Box 751461
Charlotte, NC 28275-1461

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XMA051653 (PA)
Physician Assistant 363A00000X0110001232 (VA)
Physician Assistant Primary 363A00000X3509 (SC)

Physician Assistant: 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 perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1023044906

Jennifer Desiree Douglas, PA's National Provider Identifier is 1023044906, issued on Jun 23, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Charleston, SC. The record was last updated on Apr 14, 2020.