MR. JUSTIN D DOUGLAS MSN AG-CNS APRNRN NPI 1841820099

NPI Information

NPI: 1841820099
Provider Name: MR. JUSTIN D DOUGLAS, MSN, AG-CNS, APRN,RN
Classification: Clinical Nurse Specialist - 364SA2100X
Entity Type: Individual

Specialization: Acute Care

PECOS Registration: Yes

Address:
5901 HARPER DR NE
ALBUQUERQUE, NM
ZIP 87109
Phone: (505) 823-8870
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MR. Justin D Douglas, MSN, AG-CNS, APRN,RN is an acute care clinical nurse specialist in Albuquerque, NM with 2 years of experience. MR. Justin D Douglas, MSN, AG-CNS, APRN,RN NPI is 1841820099. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5901 HARPER DR NE
ALBUQUERQUE, NM
ZIP 87109-587
Phone: (505) 823-8870

The NPI 1841820099 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 1/16/2020 and was last updated on 3/19/2024.

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	163W00000X	Registered Nurse		276667	NORTH CAROLINA	No
2	163W00000X	Registered Nurse		95191512	CALIFORNIA	No
3	163W00000X	Registered Nurse		68193	NEW MEXICO	No
4	364S00000X	Clinical Nurse Specialist		68193	NEW MEXICO	No
5	364SA2100X	Clinical Nurse Specialist	Acute Care	68193	NEW MEXICO	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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