| Laquisha Douglas, MSN, APRN, PMHNP-BC | |
|
33 Directors Row, Jackson, TN 38305-2316 | |
| (731) 541-7605 | |
| Not Available |
| Full Name | Laquisha Douglas |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 1 Years |
| Location | 33 Directors Row, Jackson, Tennessee |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760273759 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 164454 (Tennessee) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pathways Of Tennessee Inc | 6507833613 | 42 |
| Entity Name | Pathways of Tennessee Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497721609 PECOS PAC ID: 6507833613 Enrollment ID: O20040916000523 |
| Mailing Address | Practice Location Address |
|---|---|
| Laquisha Douglas, MSN, APRN, PMHNP-BC 33 Directors Row, Jackson, TN 38305-2316 Ph: (731) 541-7605 | Laquisha Douglas, MSN, APRN, PMHNP-BC 33 Directors Row, Jackson, TN 38305-2316 Ph: (731) 541-7605 |
Katherine E Wyatt, A.P.R.N. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 145 Innovation Dr, Jackson, TN 38305 Phone: 731-422-0213 Fax: 731-660-8301 |
Amy K Lawrence, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2863 Highway 45 Byp, Jackson, TN 38305 Phone: 731-422-0213 Fax: 731-660-8380 |
Lauren Williams, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1047 Union University Dr, Jackson, TN 38305 Phone: 731-256-0035 |
Anna K Younger, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 145 Innovation Dr, Jackson, TN 38305 Phone: 731-422-0213 Fax: 731-660-8301 |
Kirsten Siler, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 27a Medical Center Drive, Jackson, TN 38301 Phone: 731-541-3310 |
Stephanie Pool, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 36 Pemberton Cv, Jackson, TN 38305 Phone: 731-394-1145 Fax: 844-374-0233 |
Kimberlie A Simpson, APRN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 23 Independence Ln, Jackson, TN 38305 Phone: 731-617-1483 |