Jessica A Douglass
Nurse Practitioner, Adult Health in Kalamazoo, MI. Individual provider (NPI-1).
NPI number1457799009
StatusActive
Last updated in NPPESSep 24, 2024
Details
- NPI
- 1457799009
- Entity type
- Individual (NPI-1)
- Name
- Jessica A Douglass
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 5, 2013
- Certification date
- Sep 24, 2024
- Last updated
- Sep 24, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2200X | Nurse Practitioner, Adult Health | 4704271777 | MI | Yes |
Other names
- Jessica A Michael (Former Name)
Practice location
601 John St Ste M-302Kalamazoo, MI 49007-5357
Phone 269-349-2266 · Fax 269-341-7781
Mailing address
601 John StBox 74
Kalamazoo, MI 49007-5341
Phone 269-341-8481 · Fax 269-341-7781
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 33 Adult Health Nurse Practitioner providers in Kalamazoo · All 7,754 providers in Kalamazoo
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