MS. JACQUELINE DENISE DOUGLAS
NPI 1023523479
Contractor in Detroit, MI

Active since December 07, 2017
1121 E MCNICHOLS RD, DETROIT, MI 48203(616) 365-3100(313) 365-3098 Get Directions Write a Review

NPPES record last updated: December 7, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Jacqueline Denise Douglas NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. JACQUELINE DENISE DOUGLAS (NPI 1023523479) is an individual contractor provider in Detroit, Michigan and active in the NPI registry since December 2017.

NPPES Registry Identity

NPI1023523479
Entity TypeIndividualFemale
Primary Taxonomy171W00000X
Provider Legal NameMS. JACQUELINE DENISE DOUGLAS
Location Address1121 E MCNICHOLS RDDetroit, MI 48203-2857
Mailing Address1121 E Mcnichols RdDetroit, MI 48203-2857 · (616) 365-3100 · Fax (313) 365-3098
Fax(313) 365-3098
Sole ProprietorYes
Enumeration DateDecember 7, 2017
NPI 1023523479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyContractorOther Service Providers
Taxonomy Code171W00000X
Definition
For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no relation to a provider's employment status.
1121 E MCNICHOLS RD, Detroit, MI 48203

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Peer Specialist
1121 E MCNICHOLS RD
DETROIT, MI 48203
Counselor
1121 E MCNICHOLS RD
DETROIT, MI 48203
Case Manager/Care Coordinator
1121 E MCNICHOLS RD
DETROIT, MI 48203
Contractor
1121 E MCNICHOLS RD
DETROIT, MI 48203
Peer Specialist
1121 E MCNICHOLS RD
DETROIT, MI 48203
Contractor
1121 E MCNICHOLS RD
DETROIT, MI 48203
Peer Specialist
1121 E MCNICHOLS RD
DETROIT, MI 48203
Counselor
1121 E MCNICHOLS RD
DETROIT, MI 48203

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacqueline Douglas's NPI number?

The NPI number for Jacqueline Douglas is 1023523479. It was assigned to this individual provider in the NPPES registry on December 7, 2017.

Where is Jacqueline Douglas located?

Jacqueline Douglas practices at 1121 E Mcnichols Rd, Detroit, MI 48203. The listed phone number is (616) 365-3100.

What is Jacqueline Douglas's specialty?

The primary specialty registered for this NPI is Contractor with taxonomy code 171W00000X.

When was this NPI record last updated?

The NPPES record for Jacqueline Douglas was last updated on December 7, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.