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Contact Information

AMY R DOUGLAS, DNP, FNP-BC, WHNP-BC
415 S 28TH AVE
HATTIESBURG, MS39401-7246
 Phone: 601-288-4329
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Women's Health

363LW0102X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for AMY R DOUGLAS · (Female)

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
  • MS License # 857450
  • MS License # R857450
  • MS Medicaid 00127100
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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