Individual
MRS. JENNIFER MARIE DOUTHWAITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
3990 E BROAD ST, COLUMBUS, OH 43213-1152
(614) 336-6000
(614) 336-6898
Mailing address
3990 E BROAD ST, COLUMBUS, OH 43213-1152
(614) 336-6000
(614) 336-6898
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.310046-1
OH
363LF0000X
Family Nurse Practitioner
Primary
COA.18831-NP
OH
363LF0000X
Family Nurse Practitioner
CTP.18831-EX1
OH
Other
Enumeration date
06/01/2016
Last updated
05/19/2021
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