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Individual

JAZMINE MOORE DOUGLAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
PO BOX 2012, INGLEWOOD, CA 90305-0012
(310) 525-4905
Mailing address
PO BOX 2012, INGLEWOOD, CA 90305-0012
(310) 525-4905

Taxonomy

Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
95187846
CA
163WC1500X
Community Health Registered Nurse
95187846
CA
163WG0000X
General Practice Registered Nurse
95187846
CA
163WM0102X
Maternal Newborn Registered Nurse
Primary
95187846
CA
163WP1700X
Perinatal Registered Nurse
95187846
CA

Other

Enumeration date
05/15/2026
Last updated
05/15/2026
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