MS. KIMBERLY CANDECE DOUGLAS RN NPI 1609387463

NPI Information

NPI: 1609387463
Provider Name: MS. KIMBERLY CANDECE DOUGLAS, RN
Classification: Registered Nurse - 163WP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
175 GWINNETT DR
LAWRENCEVILLE, GA
ZIP 30046
Phone: (678) 209-2394
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MS. Kimberly Candece Douglas, RN is a psychiatric/mental health registered nurse in Lawrenceville, GA. MS. Kimberly Candece Douglas, RN NPI is 1609387463. 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:

175 GWINNETT DR
LAWRENCEVILLE, GA
ZIP 30046-444
Phone: (678) 209-2394
Fax: (678) 212-6343

The enumeration date for this NPI number is 10/19/2017 and was last updated on 10/19/2017.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WP0808X	Registered Nurse	Psychiatric/Mental Health	RN225188	GEORGIA	Yes

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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