MS. JO-ANN DOUGLAS NPI 1174846034

NPI Information

NPI: 1174846034
Provider Name: MS. JO-ANN DOUGLAS
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
22 S GREENE ST
BALTIMORE, MD
ZIP 21201
Phone: (410) 328-2302
Get Directions

MS. Jo-ann Douglas is an adult health nurse practitioner in Baltimore, MD with 15 years of experience. MS. Jo-ann Douglas NPI is 1174846034. 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:

22 S GREENE ST
BALTIMORE, MD
ZIP 21201-544
Phone: (410) 328-2302

The NPI 1174846034 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/8/2010 and was last updated on 10/16/2012.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	F305181	NEW YORK	No
2	363LA2200X	Nurse Practitioner	Adult Health	R200534	MARYLAND	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	269802100	MEDICAID	MARYLAND
2	244544Y3W	MEDICARE PIN	MARYLAND
3	S062-0491	OTHER	MARYLAND	CAREFIRST BC/BS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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