Individual provider · Type 1 NPI

Teconda Lashelle Douglas, ANP-BC

Nurse Practitioner · St. Louis, MO

NPI number 1598099525 Active

Practice location

11133 Dunn Rd Ste 2427
St. Louis, MO 63136-6163

Fax (314) 653-4376

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner 363LA2200X2000174039 (MO)
Nurse Practitioner Primary 363L00000X2000174039 (MO)

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 1598099525

Teconda Lashelle Douglas, ANP-BC's National Provider Identifier is 1598099525, issued on Sep 23, 2009. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in St. Louis, MO. The record was last updated on Nov 23, 2021.