Ms Jennifer Douglas, RN00123804 - Nurse Practitioner in Walla Walla, WA

Ms Jennifer Douglas, RN00123804 is a Nurse Practitioner - Psychiatric/mental Health based in Walla Walla, Washington. Ms Jennifer Douglas is licensed to practice in Washington (license number AP60427024) and her current practice location is 1520 Kelly Pl Ste 220, Walla Walla, Washington. She can be reached at her office (for appointments etc.) via phone at (509) 520-2924.

NPI number for Ms Jennifer Douglas is 1235476706 and her current mailing address is Po Box 1595, 1520 Kelly Place, Suite 220, Walla Walla, Washington. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1235476706.

Contact Information

Ms Jennifer Douglas, RN00123804
1520 Kelly Pl Ste 220,
Walla Walla, WA 99362-8607
(509) 520-2924
Not Available

Map and Direction




Provider's Profile

Full NameMs Jennifer Douglas
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location1520 Kelly Pl Ste 220, Walla Walla, Washington
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1235476706
  • Provider Enumeration Date: 01/03/2013
  • Last Update Date: 01/15/2014

Medical Identifiers

Medical identifiers for Ms Jennifer Douglas such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235476706NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WA2000XRegistered Nurse - Administrator RN00123804 (Washington)Secondary
163WS0200XRegistered Nurse - School RN00123804 (Washington)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health AP60427024 (Washington)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Jennifer Douglas is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Jennifer Douglas, RN00123804
Po Box 1595, 1520 Kelly Place, Suite 220,
Walla Walla, WA 99362-0329

Ph: (509) 520-2924
Ms Jennifer Douglas, RN00123804
1520 Kelly Pl Ste 220,
Walla Walla, WA 99362-8607

Ph: (509) 520-2924

Reviews and Comments


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Susan D Collins, ARNP
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Medicare: Not Enrolled in Medicare
Practice Location: 1111 S 2nd Ave, Walla Walla, WA 99362
Phone: 509-522-0100    Fax: 509-527-8010

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