Individual
MRS. TERANIKA DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
152 GATEWAY DR, BILOXI, MS 39531-4409
(228) 388-0691
Mailing address
152 GATEWAY DR, BILOXI, MS 39531-4409
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
901970
MS
Other
Enumeration date
04/10/2017
Last updated
09/25/2017
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