Individual
ERIN JENNIFER DOUGLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
483 E COUNTY LINE RD, HATBORO, PA 19040-1204
(215) 917-6682
Mailing address
483 E COUNTY LINE RD, HATBORO, PA 19040-1204
(215) 441-5670
(215) 441-5661
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
2011016948
PA
363LP2300X
Primary Care Nurse Practitioner
SP011928
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1028794360002
—
PA
Enumeration date
12/13/2011
Last updated
07/23/2021
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