BEVERLY JEAN DOUGLAS ARNP
NPI 1689634487
Nurse Practitioner - Gerontology in Dallas, TX

Active since March 24, 2006
1250 W MOCKINGBIRD LN STE 550, DALLAS, TX 75247(469) 904-3555(214) 819-2405 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Jun 29, 2017 (2 updates tracked since 2017).

About Beverly Jean Douglas Arnp NPPES

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

BEVERLY JEAN DOUGLAS ARNP (NPI 1689634487) is an individual gerontology provider in Dallas, Texas, licensed in Texas (AP134152) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1689634487
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameBEVERLY JEAN DOUGLASCredential: ARNP
Location Address1250 W MOCKINGBIRD LN STE 550Dallas, TX 75247-4902
Mailing Address1250 W Mockingbird Ln Ste 550Dallas, TX 75247-4902 · (469) 904-3555 · Fax (214) 819-2405
Fax(214) 819-2405
Sole ProprietorNo
Enumeration DateMarch 24, 2006
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1689634487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License Licensed in TX · AP134152
Also ListedNurse PractitionerTaxonomy 363L00000X · License 9230264 (FL)
1250 W MOCKINGBIRD LN STE 550, Dallas, TX 75247

Other Providers at the Same Location NPPES 4

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

Nurse Practitioner (Family)
1250 W MOCKINGBIRD LN STE 550
DALLAS, TX 75247
Nurse Practitioner (Family)
1250 W MOCKINGBIRD LN STE 550
DALLAS, TX 75247
Nurse Practitioner (Family)
1250 W MOCKINGBIRD LN STE 550
DALLAS, TX 75247
Nurse Practitioner (Family)
1250 W MOCKINGBIRD LN STE 550
DALLAS, TX 75247

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 Beverly Douglas's NPI number?

The NPI number for Beverly Douglas is 1689634487. It was assigned to this individual provider in the NPPES registry on March 24, 2006.

Where is Beverly Douglas located?

Beverly Douglas practices at 1250 W Mockingbird Ln Ste 550, Dallas, TX 75247. The listed phone number is (469) 904-3555.

What is Beverly Douglas's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

When was this NPI record last updated?

The NPPES record for Beverly Douglas was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.