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Individual
JEFFREY MADISON DOUGLASS
Active
Individual
JEFFREY MADISON DOUGLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ANP-BC
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
304819
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
C-APN.0000199-C-NP
CO
363LA2200X
Adult Health Nurse Practitioner
CNP01482
NM
363LA2200X
Adult Health Nurse Practitioner
R67367
NM
Other
Enumeration date
06/30/2008
Last updated
06/24/2020
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