Individual provider · Type 1 NPI

Kimberly Candece Douglas, RN

Psychiatric/Mental Health Registered Nurse · Lawrenceville, GA

NPI number 1609387463 Active

Practice location

175 Gwinnett Dr
Lawrenceville, GA 30046-8444

Fax (678) 212-6343

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Registered Nurse Primary 163WP0808XRN225188 (GA)

Psychiatric/Mental Health Registered Nurse: Definition to come...

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About NPI 1609387463

Kimberly Candece Douglas, RN's National Provider Identifier is 1609387463, issued on Oct 19, 2017. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Lawrenceville, GA. The record was last updated on Oct 19, 2017.