# MS. JENNIFER DOUGLAS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1235476706
- **Gender:** F
- **Credential:** RN00123804

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WA2000X | Administrator Registered Nurse | RN00123804 | WA | — |
| 163WS0200X | School Registered Nurse | RN00123804 | WA | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | AP60427024 | WA | Yes |

## Other

- **Enumeration date:** 01/03/2013
- **Last updated:** 01/15/2014
