Individual provider · Type 1 NPI

Kierra Douglass

Nurse Practitioner · Terre Haute, IN

NPI number 1356290910 Active

Practice location

2723 S 7th St Ste A
Terre Haute, IN 47802-3558

Mailing address

1942 Cobblestone Way S
Terre Haute, IN 47802-5411

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X71017623A (IN)

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 1356290910

Kierra Douglass's National Provider Identifier is 1356290910, issued on Jan 27, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Terre Haute, IN. The record was last updated on Jun 26, 2026.