Individual provider · Type 1 NPI
Jo-Ann Douglas
Adult Health Nurse Practitioner · Baltimore, MD
NPI number
1174846034
Active
Practice location
22 S Greene St
Baltimore, MD 21201-1544
Mailing address
PO Box 64442
Baltimore, MD 21264-4442
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | F305181 (NY) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | R200534 (MD) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1174846034
Jo-Ann Douglas's National Provider Identifier is 1174846034, issued on Mar 8, 2010. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Baltimore, MD. The record was last updated on Oct 16, 2012.