# MACKENZIE E DOUGLASS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1922446889
- **Gender:** F
- **Credential:** MSN, CNM

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 367A00000X | Advanced Practice Midwife | 209.010345 | IL | — |
| 367A00000X | Advanced Practice Midwife | 95212458 | CA | Yes |
| 367A00000X | Advanced Practice Midwife | APRN.CNM.019342 | OH | — |

## Other

- **Enumeration date:** 06/12/2013
- **Last updated:** 07/31/2020