Individual
JILLIAN J DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
200 E 3RD ST, JAMESTOWN, NY 14701-5433
(716) 661-8330
(716) 661-8364
Mailing address
200 E 3RD ST, JAMESTOWN, NY 14701-5433
(716) 661-8330
(716) 661-8364
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
727436
NY
Other
Enumeration date
01/14/2020
Last updated
01/14/2020
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