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JUSTIN DOUGLAS
NPI 1073153433
Registered Nurse - Registered Nurse First Assistant in Brookhaven, MS

Active since January 13, 2020
427 HIGHWAY 51 N, BROOKHAVEN, MS 39601(601) 835-9275(888) 965-6812 Get Directions Write a Review

NPPES record last updated: January 13, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Justin Douglas NPPES

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

JUSTIN DOUGLAS (NPI 1073153433) is an individual registered nurse first assistant in Brookhaven, Mississippi, licensed in Mississippi (854447) and active in the NPI registry since January 2020.

NPPES Registry Identity

NPI1073153433
Entity TypeIndividualMale
Primary Taxonomy163WR0006X
Provider Legal NameJUSTIN DOUGLAS
Location Address427 HIGHWAY 51 NBrookhaven, MS 39601-2350
Mailing Address427 Highway 51 NBrookhaven, MS 39601-2350 · (601) 835-9275 · Fax (888) 965-6812
Phone(601) 835-9275
Fax(888) 965-6812
Sole ProprietorNo
Enumeration DateJanuary 13, 2020
✔ NPI 1073153433 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Registered Nurse First AssistantNursing Service Providers
Taxonomy Code163WR0006X
License✔ Licensed in MS · 854447
Definition
A perioperative registered nurse who works in collaboration with the surgeon and other health care team members to achieve optimal outcomes. The RNFA has acquired the necessary knowledge, judgment, and skills specific to the expanded role of RNFA clinical practice. Intraoperatively, the RNFA assists the surgeon.
427 HIGHWAY 51 N, Brookhaven, MS 39601
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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.

JEFFREY J MICHEL CRNA
Nurse Anesthetist, Certified Registered
427 HIGHWAY 51 N
BROOKHAVEN, MS 39601
Lincoln County (660) 826-5960
KINGS DAUGHTERS MEDICAL CENTER
Anesthesiology
427 HIGHWAY 51 N
BROOKHAVEN, MS 39601
Lincoln County (601) 835-9275
ASHLIE L PAYNE NP
Nurse Practitioner (Acute Care)
427 HIGHWAY 51 N
BROOKHAVEN, MS 39601
Lincoln County (018) 336-0116
MONICA GRAVES EUBANKS
Nurse Practitioner
427 HIGHWAY 51 N
BROOKHAVEN, MS 39601
Lincoln County (601) 835-9176
STEVEN WILSON CABELL NP
Nurse Practitioner (Family)
427 HIGHWAY 51 N
BROOKHAVEN, MS 39601
Lincoln County (800) 893-9698
MISSISSIPPI STAFF HEALING PLLC
Specialist
427 HIGHWAY 51 N
BROOKHAVEN, MS 39601
Lincoln County (601) 835-9444
LINCOLN EMERGENCY GROUP LLC
Physician Assistant (Medical)
427 HIGHWAY 51 N
BROOKHAVEN, MS 39601
Lincoln County (800) 893-9698
GREGORY L MYRICK CRNA
Nurse Anesthetist, Certified Registered
427 HIGHWAY 51 N
BROOKHAVEN, MS 39601
Lincoln County (660) 826-5960

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 Justin Douglas's NPI number?

The NPI number for Justin Douglas is 1073153433. It was assigned to this individual provider in the NPPES registry on January 13, 2020.

Where is Justin Douglas located?

Justin Douglas practices at 427 Highway 51 N, Brookhaven, MS 39601. The listed phone number is (601) 835-9275.

What is Justin Douglas's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Registered Nurse First Assistant, with taxonomy code 163WR0006X.

When was this NPI record last updated?

The NPPES record for Justin Douglas was last updated on January 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.