National Provider Identifier

Jessica B Douglas

Jessica B Douglas is listed in the NPPES registry with a primary specialty of Case Manager/Care Coordinator in Bath, NY and a listed phone number of (607) 664-2438.

NPI 1821828898Bath, NYCase Manager/Care Coordinator

Profile Overview

NPI
1821828898
Provider Type
Individual
Primary Specialty
Case Manager/Care Coordinator
Enumeration Date
August 05, 2024
Last Updated
August 05, 2024

Practice Location

  • 3 E Pulteney Sq
  • Bath, NY 14810-1510

Phone: (607) 664-2438

Specialties

  • Case Manager/Care Coordinator (171M00000X)
Full Record
NPI
1821828898
Entity Type
Individual
Last Name
Douglas
First Name
Jessica
Middle Name
B
Mailing Street Address
3 E Pulteney Sq
Mailing City
Bath
Mailing State
NY
Mailing ZIP Code
14810-1510
Mailing Country
US
Mailing Phone
(607) 664-2438
Practice Street Address
3 E Pulteney Sq
Practice City
Bath
Practice State
NY
Practice ZIP Code
14810-1510
Practice Country
US
Practice Phone
(607) 664-2438
Enumeration Date
August 05, 2024
Last Updated
August 05, 2024
Sex
Female
Sole Proprietor
No
Certification Date
August 05, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Case Manager/Care Coordinator (171M00000X)