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JERRE DOUGLAS RNP
NPI 1275562688
Nurse Practitioner in Wynne, AR

Active since June 30, 2006
1901 KILLOUGH RD N, WYNNE, AR 72396(870) 238-8707(870) 238-8711 Get Directions Write a Review

NPPES record last updated: February 9, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jerre Douglas Rnp NPPES

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

JERRE DOUGLAS RNP (NPI 1275562688) is an individual nurse practitioner in Wynne, Arkansas, licensed in Arkansas (P01329) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1275562688
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJERRE DOUGLASCredential: RNP
Location Address1901 KILLOUGH RD NWynne, AR 72396
Mailing Address1901 Killough Rd NWynne, AR 72396 · (870) 238-8707 · Fax (870) 238-8711
Phone(870) 238-8707
Fax(870) 238-8711
Sole ProprietorNo
Enumeration DateJune 30, 2006
Last NPPES UpdateFebruary 9, 2011
✔ NPI 1275562688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in AR · P01329
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1901 KILLOUGH RD N, Wynne, AR 72396
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Other Identifiers 1

Medicare ID-Type Unspecified5S675AR

Other Providers at the Same Location NPPES 2

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

MR. TAD SCARBROUGH APRN-C, DC
Nurse Practitioner (Family)
1901 KILLOUGH RD N
WYNNE, AR 72396
Cross County (870) 238-8707
DR. RYAN EDWARD POYNOR
Chiropractor
1901 KILLOUGH RD N
WYNNE, AR 72396
Cross County (870) 238-8707

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 Jerre Douglas's NPI number?

The NPI number for Jerre Douglas is 1275562688. It was assigned to this individual provider in the NPPES registry on June 30, 2006.

Where is Jerre Douglas located?

Jerre Douglas practices at 1901 Killough Rd N, Wynne, AR 72396. The listed phone number is (870) 238-8707.

What is Jerre Douglas's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Jerre Douglas was last updated on February 9, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.