Douglass, Erin Jennifer

Douglass, Erin Jennifer is an individual health care provider with primary practice located at 483 E County Line Rd , Hatboro PA 19040-1204. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Douglass, Erin Jennifer can be contacted via phone (215) 917-6682.

Contact Information

Primary practice address
483 E County Line Rd Hatboro PA 19040-1204
Phone: (215) 917-6682
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X SP011928 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 2011016948 Pennsylvania

Profile Details

NPI number 1528336955
LBN Legal business name Douglass, Erin Jennifer
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2011
Last updated Jul 23rd, 2021 - about 3 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 1528336955 NPPES
Pennsylvania MEDICAID 1028794360002

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