Individual provider · Type 1 NPI

Garrett Douglas

Acute Care Nurse Practitioner · Hattiesburg, MS

NPI number 1477933745 Active

Practice location

415 S 28th Ave
Hattiesburg, MS 39401-7246

Fax (601) 579-5212

Mailing address

37 Good Hope Rd
Columbia, MS 39429-8914

Other practice locations

  • 1119 Williamsburg Rd, Columbia, MS 39429-8862 · (601) 456-5100
  • 1240 Broad Ave Ste B, Gulfport, MS 39501-2416 · (601) 456-5100

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X882599 (MS)
Acute Care Nurse Practitioner Primary 363LA2100X882599 (MS)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1477933745

Garrett Douglas's National Provider Identifier is 1477933745, issued on Jun 2, 2015. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Hattiesburg, MS. The record was last updated on May 18, 2026.