Individual
CAITLIN DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
434 PARRISH HL, MOUNT JULIET, TN 37122-4545
(618) 303-6543
Mailing address
434 PARRISH HL, MOUNT JULIET, TN 37122-4545
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4014651
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/25/2021
Last updated
03/08/2024
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