Individual
VIRGINIA ANN DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
633 HIGH ST, HUNTINGDON, TN 38344-1703
(731) 986-1990
Mailing address
633 HIGH ST, HUNTINGDON, TN 38344-1703
(731) 986-1990
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN0000055056
TN
Other
Enumeration date
07/24/2019
Last updated
07/24/2019
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