Individual provider · Type 1 NPI

Margie Douglas

Adult Health Nurse Practitioner · Springfield, IL

NPI number 1154623585 Active

Practice location

619 E Mason St, Suite 4P57
Springfield, IL 62701-1034

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200X209008390 (IL)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1154623585

Margie Douglas's National Provider Identifier is 1154623585, issued on Nov 17, 2010. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Springfield, IL. The record was last updated on Sep 29, 2026.