MS. JACQUELINE DENISE DOUGLAS NPI 1023523479

NPI Information

MS. Jacqueline Denise Douglas is a contractor in Detroit, MI. The provider is a person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). MS. Jacqueline Denise Douglas NPI is 1023523479. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1121 E MCNICHOLS RD
DETROIT, MI
ZIP 48203-857
Phone: (616) 365-3100
Fax: (313) 365-3098

The enumeration date for this NPI number is 12/7/2017 and was last updated on 12/7/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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