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MS. JENNIFER DOUGLAS RN00123804
NPI 1235476706
Nurse Practitioner - Psychiatric/Mental Health in Walla Walla, WA

Active since January 03, 2013
1520 KELLY PL STE 220, WALLA WALLA, WA 99362(509) 520-2924 Get Directions Write a Review

NPPES record last updated: January 15, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Jennifer Douglas Rn00123804 NPPES

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

MS. JENNIFER DOUGLAS RN00123804 (NPI 1235476706) is an individual psychiatric/mental health provider in Walla Walla, Washington, licensed in Washington (AP60427024) and active in the NPI registry since January 2013.

NPPES Registry Identity

NPI1235476706
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMS. JENNIFER DOUGLASCredential: RN00123804
Location Address1520 KELLY PL STE 220Walla Walla, WA 99362-8607
Mailing AddressPo Box 1595, 1520 Kelly Place, Suite 220Walla Walla, WA 99362-0329 · (509) 520-2924
Phone(509) 520-2924
Sole ProprietorYes
Enumeration DateJanuary 3, 2013
Last NPPES UpdateJanuary 15, 2014
✔ NPI 1235476706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in WA · AP60427024
Also ListedRegistered Nurse · AdministratorTaxonomy 163WA2000X · License RN00123804 (WA)
Also ListedRegistered Nurse · SchoolTaxonomy 163WS0200X · License RN00123804 (WA)
1520 KELLY PL STE 220, Walla Walla, WA 99362
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Other Names 1

Professional Name (2)Ms. Jennifer Douglas Ap60427024

Other Providers at the Same Location NPPES

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

JESSICA KARBON
Case Manager/Care Coordinator
1520 KELLY PL STE 220
WALLA WALLA, WA 99362
Walla Walla County (509) 524-2920

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 Jennifer Douglas's NPI number?

The NPI number for Jennifer Douglas is 1235476706. It was assigned to this individual provider in the NPPES registry on January 3, 2013. The provider is also known as Ms. Jennifer Douglas Ap60427024.

Where is Jennifer Douglas located?

Jennifer Douglas practices at 1520 Kelly Pl Ste 220, Walla Walla, WA 99362. The listed phone number is (509) 520-2924.

What is Jennifer Douglas's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Jennifer Douglas was last updated on January 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.