Individual
JESSICA LYNN DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
149 DRINKWATER RD, BAY ST LOUIS, MS 39520-1658
(228) 467-8600
(228) 395-1225
Mailing address
149 DRINKWATER RD, BAY ST LOUIS, MS 39520-1658
(228) 467-8600
(228) 395-1225
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26862
MS
Other
Enumeration date
03/31/2016
Last updated
07/19/2019
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