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Individual

MRS. JOAN H. DOUGLAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
165 NATCHEZ TRACE AVE STE 205, BOWLING GREEN, KY 42103-7947
(270) 745-7246
(270) 282-2027
Mailing address
PO BOX 21890, BELFAST, ME 04915-4115
(502) 907-0356
(502) 919-9780

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3010873
KY
363LF0000X
Family Nurse Practitioner
3010873
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100432960
KY
Enumeration date
07/25/2016
Last updated
02/13/2024
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