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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

JESSICA V DOUGLAS
NPI 1902712805
Student in an Organized Health Care Education/Training Program in San Jose, CA

Active since August 20, 2026
828 HERMISTON DR, SAN JOSE, CA 95136(408) 838-6044 Get Directions Write a Review

NPPES record added: August 20, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Jessica V Douglas NPPES

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

JESSICA V DOUGLAS (NPI 1902712805) is an individual student in an organized health care education/training program in San Jose, California, licensed in California (INT52191) and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1902712805
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJESSICA V DOUGLAS
Location Address828 HERMISTON DRSan Jose, CA 95136-1512
Mailing Address828 Hermiston DrSan Jose, CA 95136-1512 · (408) 838-6044
Phone(408) 838-6044
Sole ProprietorYes
Enumeration DateAugust 20, 2026
NPPES CertifiedAugust 20, 2026
✔ NPI 1902712805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in CA · INT52191
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
828 HERMISTON DR, San Jose, CA 95136
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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 Jessica Douglas's NPI number?

The NPI number for Jessica Douglas is 1902712805. It was assigned to this individual provider in the NPPES registry on August 20, 2026.

Where is Jessica Douglas located?

Jessica Douglas practices at 828 Hermiston Dr, San Jose, CA 95136. The listed phone number is (408) 838-6044.

What is Jessica Douglas's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jessica Douglas was last updated on August 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.