Individual provider · Type 1 NPI
Kelly Douglas, APRN
Family Nurse Practitioner · Boynton Beach, FL
NPI number
1396385456
Active
Practice location
8200 S Jog Rd Ste 203
Boynton Beach, FL 33472-2981
Mailing address
3886 Edgar Ave
Boynton Beach, FL 33436-2728
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | APRN11005517 (FL) |
Family Nurse Practitioner: Definition to come...
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About NPI 1396385456
Kelly Douglas, APRN's National Provider Identifier is 1396385456, issued on Jan 7, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Boynton Beach, FL. The record was last updated on Jan 7, 2020.