AMY R DOUGLAS


Address: 1 Lincoln Pkwy Ste 302, Hattiesburg, MS 39402
Phone: 6015795400

AMY R DOUGLAS (NPI# 1801199666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801199666
Entity Type Individual
Full Name AMY R DOUGLAS
Other Name AMY CAMPBELL
Credential DNP, FNP-BC, WHNP-BC
Practice Address 1 Lincoln Pkwy Ste 302
Hattiesburg
MS 39402
Mailing Address 415 S 28th Ave
Hattiesburg
MS 39401-7246
Practice Telephone 6015795400
Practice Fax Number 6015795240
Mailing Telephone 6015795400
Mailing Fax Number 6015795240
Enumeration Date 2010-12-15
Last Update Date 2018-08-22
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
R857450 MS Physician Assistants & Advanced Practice Nursing Providers
N 363LW0102X Nurse Practitioner
Specialization: Women's Health
R857450 MS Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MS 00127100 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
1430 Jefferson St, Laurel, Laurel, MS 394404243 6014252273 6014269637

Other Providers AMY DOUGLAS

NPI Name Taxonomy Address Enumeration
1245719103 Amy Michelle Douglas Pharmacist 4907 Caldwell Mill Ln, Birmingham, AL 35242-4507 2018-08-11
1487253431 Amy Sue Douglas Pharmacist 8404 N 30th St, Omaha, NE 68112-2270 2020-10-21
1063053379 Amy Kaye Douglas Peer Specialist 13101 Allen Rd, Southgate, MI 48195-2216 2019-10-08
1346809530 Amy Douglas Occupational Therapist 3500 Sw 10th Ave, Topeka, KS 66604-1995 2019-06-11
1942795125 Amy Douglas Counselor 128 S 17th St, Blair, NE 68008-2004 2018-06-28
1639591092 Amy Tarpley Douglas Nurse Practitioner 55 Whitcher St Ne, Suite 350, Marietta, GA 30060-1155 2014-01-20
1104142454 Amy Leann Douglas Emergency Medicine 1798 N Garey Ave, Pomona, CA 91767-2918 2010-04-12

Office Location

Street Address 1 LINCOLN PKWY STE 302
City HATTIESBURG
State MS
Zip Code 39402

Providers in the same location

NPI Name Taxonomy Address Enumeration
1881195618 Hattiesburg Clinic, Pa Psychiatry & Neurology 1 Lincoln Pkwy Ste 302, Hattiesburg, MS 39402-3261 2018-02-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518572965 Resilient Therapy and Solutions, Pllc Clinic/Center 5266 Old Hwy 11 Ste 50, #308, Hattiesburg, MS 39402 2020-09-12
1932710225 Jones County Medical Supplies, Inc Durable Medical Equipment & Medical Supplies 6424 Hwy 98 West, Suite 20, Hattiesburg, MS 39402 2020-08-11
1467086736 Elizabeth A. Perry Technician 1220 Marrie St, Hattiesburg, MS 39402 2020-02-26
1225678063 Connor Gregory Galloway Physical Therapist 3688 Veteran Memorial Drive, Hattiesburg, MS 39402 2020-01-09
1487291456 Megan Marie Smith Social Worker 11 Woodstone Plaza, Hattiesburg, MS 39402 2019-12-09
1821656612 Julie Covington Mcmahan Dentist 100 Madison Plaza, Hattiesburg, MS 39402 2019-06-05
1295392074 Hattiesburg Clinic, Pa Preventive Medicine 6414 Highway 98, Suite 120, Hattiesburg, MS 39402 2019-05-28
1760945356 Rachandeep Chahal Student in an Organized Health Care Education/Training Program 5001 Hardy Street Merit Health Wesley, Hattiesburg, MS 39402 2019-04-10
1386101137 Courtney L Smith Behavior Technician 32 Millbanch Road, Suite 40, Hattiesburg, MS 39402 2019-02-28
1891269940 Amanda Laine Mcarthur-macisaac Registered Nurse 5909 Highway 49 South, Suite 30, Hattiesburg, MS 39402 2019-01-11
Find all providers in zip 39402

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1588278618 Joshua Cole Hammons Nurse Practitioner 2134 Weeping Willow Cir, Hattiesburg, MS 39402-6096 2020-09-05
1518571900 Lawanda Nicole Ellis Nurse Practitioner 4124 W 4th St Apt 2010, Hattiesburg, MS 39401-5791 2020-09-02
1851913768 Maryam Rahmanian Nurse Practitioner 27 Lake Forgetful Apt 815, Hattiesburg, MS 39402-8288 2020-05-13
1477188332 Stacy Williams Nurse Practitioner 18 Nicolaus Dr, Hattiesburg, MS 39402-8112 2020-03-10
1932740578 Felisa Jeannette Hall Nurse Practitioner 216 Westover Dr, Hattiesburg, MS 39402-1374 2019-10-04
1164072278 Vivian Wright Pittman Nurse Practitioner 108 Northwest Cir, Hattiesburg, MS 39401-4512 2019-09-19
1821650045 Charlotte Denise Andrews Nurse Practitioner 198 Millpond Dr, Hattiesburg, MS 39401-5561 2019-07-08
1285107318 Talphineta Alisha Kelly Nurse Practitioner 9 Waverly Cir, Hattiesburg, MS 39402-8375 2019-01-11
1467931642 Shuntay Mccormick Nurse Practitioner 163 Augustine Dr, Hattiesburg, MS 39402-7836 2018-08-09
1548768260 Tavithia Heidelburg Nurse Practitioner 4 Willow Pt Ste 40, Hattiesburg, MS 39402-1150 2018-01-28
Find all providers in HATTIESBURG

Competitor

Search similar providers

City HATTIESBURG
Zip Code 39402

Improve Information

Please comment or provide details below to improve the information on AMY R DOUGLAS.

Dataset Information

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.

Trending Searches