BEVERLY JEAN DOUGLAS ARNP NPI 1689634487

NPI Information

NPI: 1689634487
Provider Name: BEVERLY JEAN DOUGLAS, ARNP
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

PECOS Registration: Yes

Address:
1250 W MOCKINGBIRD LN STE 550
DALLAS, TX
ZIP 75247
Phone: (469) 904-3555
Get Directions

Beverly Jean Douglas, ARNP is a gerontology nurse practitioner in Dallas, TX. Beverly Jean Douglas, ARNP NPI is 1689634487. 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:

1250 W MOCKINGBIRD LN STE 550
DALLAS, TX
ZIP 75247-902
Phone: (469) 904-3555
Fax: (214) 819-2405

The NPI 1689634487 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 3/24/2006 and was last updated on 6/29/2017.

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	363L00000X	Nurse Practitioner		9230264	FLORIDA	No
2	363LG0600X	Nurse Practitioner	Gerontology	AP134152	TEXAS	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: 11/14/2023

NPI Synchronization or Removal

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