NPI Profile for AMY R DOUGLAS in HATTIESBURG, MS.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Women's Health |
363LW0102X | 50 | Nurse Practitioner |
| NPI # | 1801199666 |
|
| Status | Active | |
| Credentials | DNP, FNP-BC, WHNP-BC | |
| Entity | Individual | |
| Enumeration date | 12/15/2010 | |
| Last updated | 03/25/2025 - More than a year ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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AMY R DOUGLAS
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