Individual
DR. JENNIFER LYNN DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM, LM
Contact information
Practice address
830 EAST RD., CLARKSBURG, MA 01247
(845) 264-8724
(888) 224-1413
Mailing address
830 EAST RD., CLARKSBURG, MA 01247
(845) 264-8724
(888) 224-1413
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
107.0081441
VT
176B00000X
Midwife
Primary
1070081441
VT
Other
Enumeration date
10/21/2011
Last updated
03/01/2023
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