JOHN MASON DOUGLAS (NPI# 1730566175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730566175 |
| Entity Type | Individual |
| Full Name | JOHN MASON DOUGLAS |
| Credential | FNP-BC |
| Practice Address |
102 W Freedom Dr Liberty MS 39645 |
| Mailing Address |
Po Box 511 Liberty MS 39645-0511 |
| Practice Telephone | 6016578086 |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2015-07-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R882551 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639417108 | John K Douglas | Contractor | 2230 15th St Ne, Washington, DC 20018-1223 | 2013-01-17 |
| 1093837346 | John Elwood Douglas | Internal Medicine | 174 Mcafee Blf, Gray, TN 37615-4067 | 2007-04-06 |
| 1831243393 | John G Douglas | Dentist | 223 Gardenia Ct, Lititz, PA 17543-8307 | 2007-01-22 |
| 1124135793 | John Munroe Douglas Jr. | Internal Medicine | 842 Yorkshire Rd Ne, Atlanta, GA 30306-3249 | 2006-08-23 |
| 1225052707 | John Bradbury Douglas | Dentist | 6622 N Wayne Rd, Westland, MI 48185-7006 | 2006-07-27 |
| 1407840911 | John T Douglas | Nurse Anesthetist, Certified Registered | Highway 16, Palatka, FL 32178-0778 | 2005-09-12 |
| 1851391908 | John Antoni Douglas | Orthopaedic Surgery | 2321 N 400 E Ste 300, Tooele, UT 84074-3440 | 2005-07-29 |
| 1649717984 | John Douglas | Social Worker | 565 Memorial Cir, Advanced Practice Nursing Services, Ormond Beach, FL 32174-5001 | 2017-01-25 |
| 1366769804 | John Christian Douglas | Psychiatry & Neurology | 141 N Central Ave, Hartsdale, NY 10530-1912 | 2010-04-23 |
| 1679896021 | John Alan Douglas | Pharmacist | 1620 Century Center Pkwy, Memphis, TN 38134-0181 | 2010-03-11 |
| Street Address |
102 W FREEDOM DR |
| City | LIBERTY |
| State | MS |
| Zip Code | 39645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568073831 | Chloe Harvey Gill | Dental Hygienist | 102 W Freedom Dr, Liberty, MS 39645-7295 | 2020-08-11 |
| 1982234225 | Rebecca R Emfinger | Dietitian, Registered | 102 W Freedom Dr, Liberty, MS 39645-7295 | 2020-01-24 |
| 1003322900 | Leonna Huhn | Nurse Practitioner | 102 W Freedom Dr, Liberty, MS 39645-7295 | 2017-12-15 |
| 1427567791 | Melanie Dawne Robertson | Nurse Practitioner | 102 W Freedom Dr, Liberty, MS 39645 | 2017-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962563 | Cassycel Thigpen | Psychologist | 4894a Highway 584 Liberty, 4894a Highway 584 Liberty, Liberty, MS 39645 | 2020-11-05 |
| 1407101140 | Weathers Chiropractic Center Pllc | Chiropractor | 128 West Broken St, Liberty, MS 39645 | 2012-07-18 |
| 1265646145 | Amite County School District | Registered Nurse | 3457 S. Greensburg Rd., Liberty, MS 39645 | 2007-05-09 |
| 1861428716 | Heather Johnson Harden | Nurse Practitioner | 138 Clinic Drive, Liberty, MS 39645 | 2006-06-23 |
| 1295097269 | Karen Christine Ross | Nurse Practitioner | 102 West Freedom Drive, Liberty, MS 39645 | 2012-06-14 |
| 1528337367 | Care One Health | In Home Supportive Care | 171 East Main Street, Liberty, MS 39645 | 2011-12-23 |
| 1659693083 | Amite County Medical Services, Inc. | Clinic/Center | 102 West Freedom Drive, Liberty, MS 39645 | 2010-02-26 |
| 1639124183 | Liberty Drug Store, Inc. | Pharmacist | 110 E Main St, Liberty, MS 39645 | 2006-05-23 |
| 1699724906 | Henry L Lewis | Family Medicine | 102 West Freedom Drive, Liberty, MS 39645-0511 | 2006-05-06 |
| 1720036890 | Shelby T White | Nurse Practitioner | 102 West Freedrom Drive, Liberty, MS 39645-0511 | 2006-05-04 |
| Find all providers in zip 39645 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225653306 | Ashley Pence Wilson | Nurse Practitioner | 1105 Jackson Ct, Liberty, MO 64068-3372 | 2020-06-14 |
| 1417503186 | Susan Mwirigi Gunn | Nurse Practitioner | 1021 Bob White Ln, Liberty, MO 64068-7427 | 2019-08-17 |
| 1063935062 | Jennifer Nichole Gibson | Nurse Practitioner | Liberty Hospital 2525 Glen Hendren Dr, Liberty, MO 64068 | 2017-07-21 |
| 1700221413 | Sukhdeep Johal | Nurse Practitioner | 1901 W Kansas St # Mo001, Liberty, MO 64068-2060 | 2013-05-08 |
| 1215272166 | Ruth Teague | Nurse Practitioner | 2718 N Main St, Liberty, TX 77575-3909 | 2012-12-04 |
| 1376805499 | Caroline E Baugess | Nurse Practitioner | 504 N Greensboro St, Liberty, NC 27298-2601 | 2012-06-14 |
| 1326308636 | Tracy Mathews Allen | Nurse Practitioner | 1343 County Road 2005, Liberty, TX 77575-8709 | 2012-05-21 |
| 1770721003 | Cheryl Jean Wells | Nurse Practitioner | 129 S Fayetteville St, Liberty, NC 27298-3200 | 2009-01-23 |
| 1730373309 | M Therese Sellers | Nurse Practitioner | 109 N Blue Jay Dr, Liberty, MO 64068-1906 | 2007-08-28 |
| 1891876900 | Paula M Brown | Nurse Practitioner | 2609 Glenn Hendren Dr, Liberty, MO 64068-3313 | 2006-10-17 |
| Find all providers in LIBERTY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.