Individual provider · Type 1 NPI

Isis Mystique Douglass, LPN

Licensed Practical Nurse · Akron, OH

NPI number 1265393516 Active

Practice location

720 Treeside Dr
Akron, OH 44313-5667

Call (330) 245-7431 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XLPN.175394.MEDS-IV (OH)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1265393516

Isis Mystique Douglass, LPN's National Provider Identifier is 1265393516, issued on Nov 18, 2025. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Akron, OH. The record was last updated on Nov 18, 2025.