CORRINE LEE DOUGLAS NP NPI 1720481526

NPI Information

NPI: 1720481526
Provider Name: CORRINE LEE DOUGLAS, NP
Classification: Nurse Practitioner - 363LP0222X
Entity Type: Individual

Specialization: Pediatrics, Critical Care

Address:
751 S BASCOM AVE
SAN JOSE, CA
ZIP 95128
Phone: (408) 857-3150
Get Directions

Corrine Lee Douglas, NP is a pediatrics and critical care nurse practitioner in San Jose, CA. Corrine Lee Douglas, NP NPI is 1720481526. 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:

751 S BASCOM AVE
SAN JOSE, CA
ZIP 95128-604
Phone: (408) 857-3150

The enumeration date for this NPI number is 10/7/2014 and was last updated on 3/10/2021.

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	363LP0222X	Nurse Practitioner	Pediatrics, Critical Care	NP95001430	CALIFORNIA	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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