Individual provider · Type 1 NPI

Jacqueline M. Nero-Douglas

Prosthetic/Orthotic Supplier · Spokane, WA

NPI number 1518787019 Active

Practice location

4750 N Division St # 1234
Spokane, WA 99207-1411

Mailing address

816 W Francis Ave # 472
Spokane, WA 99205-6512

Specialties and licenses

TaxonomyCodeLicense
Prosthetic/Orthotic Supplier Primary 335E00000XNone listed

Prosthetic/Orthotic Supplier: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

About NPI 1518787019

Jacqueline M. Nero-Douglas's National Provider Identifier is 1518787019, issued on Oct 10, 2024. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Spokane, WA. The record was last updated on Oct 10, 2024.