Douglass, Jennifer Mayuri

Douglass, Jennifer Mayuri is an individual health care provider with primary practice located at 2050 Pfingsten Rd Ste 360 , Glenview IL 60026-1313. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Douglass, Jennifer Mayuri can be contacted via phone (847) 998-4170.

Contact Information

Primary practice address
2050 Pfingsten Rd Ste 360 Glenview IL 60026-1313
Phone: (847) 998-4170
Fax: (847) 998-4165
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209.016884 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209016884 Illinois
Nursing Service Providers / Registered Nurse 163W00000X 041.402891 Illinois

Profile Details

NPI number 1922512458
LBN Legal business name Douglass, Jennifer Mayuri
Credentials APN, FNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2017
Last updated Jun 7th, 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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