Douglas, Vanessa Lynn

Douglas, Vanessa Lynn is an individual health care provider with primary practice located at 662 N Main St , Springboro OH 45066-9553. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Douglas, Vanessa Lynn can be contacted via phone (937) 641-5066.

Contact Information

Primary practice address
662 N Main St Springboro OH 45066-9553
Phone: (937) 641-5066
Fax: (937) 550-9797
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X APRN.CNP.13836 Ohio

Profile Details

NPI number 1336499854
LBN Legal business name Douglas, Vanessa Lynn
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2012
Last updated Oct 10th, 2023 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1336499854 NPPES
Ohio MEDICAID 0073866

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