Jade Douglas is a student in an organized health care education training program in Staten Island, NY. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Jade Douglas NPI is 1821865890. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
475 SEAVIEW AVE
STATEN ISLAND, NY
ZIP 10305-436
Phone: (718) 226-8042
The enumeration date for this NPI number is 12/8/2023 and was last updated on 12/8/2023.