Mrs Diamond Douglass, RN - Registered Nurse in Southfield, MI

Mrs Diamond Douglass, RN is a Registered Nurse based in Southfield, Michigan. Mrs Diamond Douglass is licensed to practice in Michigan (license number 4704219025) and her current practice location is 19758 W 12 Mile Rd # 47, Southfield, Michigan. She can be reached at her office (for appointments etc.) via phone at (810) 373-9346.

NPI number for Mrs Diamond Douglass is 1982072708 and her current mailing address is 19758 W 12 Mile Rd # 47, Southfield, Michigan. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1982072708.

Contact Information

Mrs Diamond Douglass, RN
19758 W 12 Mile Rd # 47,
Southfield, MI 48076
(810) 373-9346
(253) 540-4700

Map and Direction




Provider's Profile

Full NameMrs Diamond Douglass
GenderFemale
SpecialityRegistered Nurse
Location19758 W 12 Mile Rd # 47, Southfield, Michigan
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1982072708
  • Provider Enumeration Date: 09/10/2015
  • Last Update Date: 09/10/2015

Medical Identifiers

Medical identifiers for Mrs Diamond Douglass such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1982072708NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 4704219025 (Michigan)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. Mrs Diamond Douglass 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
Mrs Diamond Douglass, RN
19758 W 12 Mile Rd # 47,
Southfield, MI 48076

Ph: (810) 373-9346
Mrs Diamond Douglass, RN
19758 W 12 Mile Rd # 47,
Southfield, MI 48076

Ph: (810) 373-9346

Reviews and Comments


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