Individual provider · Type 1 NPI
Keri Douglas, FNP-BC
Nurse Practitioner · Centrailia, IL
Practice location
1054 M. L. King Drive #125
Centrailia, IL 62801
Mailing address
197 Westmore Drive
Aviston, IL 62216
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 209.012941 (IL) |
Nurse Practitioner: (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 certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
About NPI 1104201714
Keri Douglas, FNP-BC's National Provider Identifier is 1104201714, issued on Jul 24, 2015. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Centrailia, IL. The record was last updated on Jul 24, 2015.