BEVERLY JEAN DOUGLAS ARNP NPI 1689634487

NPI Information

  • NPI: 1689634487
  • Provider Name: BEVERLY JEAN DOUGLAS, ARNP
  • Classification: Nurse Practitioner - 363LG0600X
  • Specialization: Gerontology
  • Entity Type: Individual
  • Address: 1250 W MOCKINGBIRD LN STE 550
    DALLAS, TX
    ZIP 75247
  • Phone: (469) 904-3555

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NPI Details

Beverly Jean Douglas, ARNP is a gerontology nurse practitioner in Dallas, TX. Beverly Jean Douglas, ARNP NPI is 1689634487. 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:

1250 W MOCKINGBIRD LN STE 550
DALLAS, TX
ZIP 75247-902
Phone: (469) 904-3555
Fax: (214) 819-2405

The enumeration date for this NPI number is 3/24/2006 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363L00000XNurse Practitioner9230264FLORIDANo
2363LG0600XNurse PractitionerGerontologyAP134152TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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