Individual provider · Type 1 NPI

Charity Douglas

Nurse Practitioner · Corbin, KY

NPI number 1265904890 Active

Practice location

45 Moonbow Plz
Corbin, KY 40701-8949

Fax (606) 528-0028

Mailing address

PO Box 1325
Corbin, KY 40702-1325

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X3013049 (KY)

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…

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About NPI 1265904890

Charity Douglas's National Provider Identifier is 1265904890, issued on Dec 20, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Corbin, KY. The record was last updated on Jan 23, 2019.