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Contact Information

JERRE DOUGLAS, RNP
1901 KILLOUGH RD N
WYNNE, AR72396
 Phone: 870-238-8707
 Fax: 870-238-8711
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for JERRE DOUGLAS · (Female)

NPI Number 1275562688
Status Active
Credentials RNP
Entity Individual
Enumeration date 06/30/2006
Last updated 02/09/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • AR License # P01329
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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