Individual provider · Type 1 NPI

Jennifer Mayuri Douglass, APN, FNP

Nurse Practitioner · Glenview, IL

NPI number 1922512458 Active

Practice location

2050 Pfingsten Rd Ste 360
Glenview, IL 60026-1313

Fax (847) 998-4165

Other practice locations

  • 121 S Wilke Rd Ste 606, Arlington Heights, IL 60005-1529 · (224) 535-7155

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X209.016884 (IL)
Nurse Practitioner Primary 363L00000X209016884 (IL)
Registered Nurse 163W00000X041.402891 (IL)

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…

2 other providers at this address

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About NPI 1922512458

Jennifer Mayuri Douglass, APN, FNP's National Provider Identifier is 1922512458, issued on Nov 20, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Glenview, IL. The record was last updated on Jun 7, 2021.