Individual
JESSICA A DOUGLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 JOHN ST STE M-302, KALAMAZOO, MI 49007-5357
(269) 349-2266
(269) 341-7781
Mailing address
601 JOHN ST, BOX 74, KALAMAZOO, MI 49007-5341
(269) 341-8481
(269) 341-7781
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704271777
MI
Other
Enumeration date
06/05/2013
Last updated
09/24/2024
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