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Individual
JENNIFER G DOUGLAS
Active
Individual
JENNIFER G DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP, PMHNP, FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
416133
OH
363LF0000X
Family Nurse Practitioner
R250262
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R250262
MD
Other
Enumeration date
02/08/2020
Last updated
07/14/2026
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