Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JUSTIN DOUGLAS
ActiveJUSTIN DOUGLAS is a Registered Nurse First Assistant healthcare provider located in BROOKHAVEN, Mississippi. NPI 1073153433 is currently active in the NPPES registry. Verify at CMS.
Registered Nurse First Assistant · BROOKHAVEN, MS
Registration Details
- NPI Number
- 1073153433
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 13, 2020 (6.6028471036808 yrs)
- Last Updated
- Jan 13, 2020
- License
-
854447 (MS)
Practice Information
- Address
-
427 HIGHWAY 51 NBROOKHAVEN, MS, 396012350Browse MS providers · Browse ZIP 39601
- Phone
- 6018359275
- Fax
- 8889656812
- Primary Specialty
-
Registered Nurse First Assistant
163WR0006X
Other Registered Nurse First Assistant Providers in BROOKHAVEN, MS
| Name | Credential | NPI |
|---|---|---|
| THOMAS MCMAHON | — | 1952941312 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.