Individual provider · Type 1 NPI
Kelly Douglass, CRNP
Nurse Practitioner · Williamsport, PA
Practice location
1705 Warren Ave, Suite 303
Williamsport, PA 17701-2665
Fax (570) 326-8049
Mailing address
1201 Grampian Blvd, Suite 1K
Williamsport, PA 17701-1900
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | SP013049 (PA) |
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 1598198525
Kelly Douglass, CRNP's National Provider Identifier is 1598198525, issued on Aug 13, 2013. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Williamsport, PA. The record was last updated on Aug 13, 2013.