Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KERI DOUGLAS, FNP-BC
ActiveKERI DOUGLAS, FNP-BC is a Nurse Practitioner healthcare provider located in CENTRAILIA, Illinois. NPI 1104201714 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · CENTRAILIA, IL
Registration Details
- NPI Number
- 1104201714
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 24, 2015 (11.048240635042 yrs)
- Last Updated
- Jul 24, 2015
- License
-
209.012941 (IL)
Practice Information
- Address
-
1054 M. L. KING DRIVE #125CENTRAILIA, IL, 62801Browse IL providers · Browse ZIP 62801
- Phone
- 6184365200
- Primary Specialty
-
Nurse Practitioner
363L00000X
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.