National Provider Identifier

Jillian J Douglas, RN

Jillian J Douglas, RN is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Registered Nurse in Jamestown, NY and a listed phone number of (716) 661-8330.

NPI 1891335204Jamestown, NYPsychiatric/Mental Health Registered Nurse

Profile Overview

NPI
1891335204
Provider Type
Individual
Primary Specialty
Psychiatric/Mental Health Registered Nurse
Enumeration Date
January 14, 2020
Last Updated
January 14, 2020

Practice Location

  • 200 E 3Rd St
  • Jamestown, NY 14701-5433

Phone: (716) 661-8330

Specialties

  • Psychiatric/Mental Health Registered Nurse (163WP0808X)
Full Record
NPI
1891335204
Entity Type
Individual
Last Name
Douglas
First Name
Jillian
Middle Name
J
Credential
RN
Mailing Street Address
200 E 3Rd St
Mailing City
Jamestown
Mailing State
NY
Mailing ZIP Code
14701-5433
Mailing Country
US
Mailing Phone
(716) 661-8330
Mailing Fax
(716) 661-8364
Practice Street Address
200 E 3Rd St
Practice City
Jamestown
Practice State
NY
Practice ZIP Code
14701-5433
Practice Country
US
Practice Phone
(716) 661-8330
Practice Fax
(716) 661-8364
Enumeration Date
January 14, 2020
Last Updated
January 14, 2020
Sex
Female
Sole Proprietor
No
Certification Date
January 14, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Psychiatric/Mental Health Registered Nurse (163WP0808X)