Douglas, Jill Ann

Douglas, Jill Ann is an sole proprietor health care provider with primary practice located at Stony Brook University Medical Ctr Hsc T-15 Rm080, Stony Brook NY 11794-8153. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Douglas, Jill Ann can be contacted via phone (631) 444-4793.

Contact Information

Primary practice address
Stony Brook University Medical Ctr Hsc T-15 Rm080 Stony Brook NY 11794-8153
Phone: (631) 444-4793
Fax: (631) 444-4695
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F332162 New York

Profile Details

NPI number 1548389075
LBN Legal business name Douglas, Jill Ann
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 28th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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