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Margie Douglas
Adult Health Nurse Practitioner in Springfield, Illinois
NPI 1154623585

Margie Douglas is an Adult Health Nurse Practitioner based in Springfield, IL and is specialized in Adult Health. Margie Douglas practices in Springfield, IL. The NPI Number for Margie Douglas is 1154623585 and holds a License No. 209008390 (Illinois).

The current practice location address for Margie Douglas is 619 E Mason St, Springfield, IL and can be reached out via phone at 217-788-0706. You can also correspond with Margie Douglas through the mailing address at 619 E MASON ST, SPRINGFIELD, IL - 62701-1034 (mailing address contact number: ).

Location: 619 E Mason St, Springfield, IL, 62701-1034
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Provider Profile Details
NPI Number
1154623585
Provider Name
Margie Douglas
Credential
Provider Entity Type
Individual
Gender
Female
Address
619 E Mason St, Springfield, IL, 62701-1034
Phone Number
217-788-0706
Fax Number
Provider Enumeration Date
11/17/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00907053 01 IL RR MEDICARE
institution
Provider Business Practice Location Address Details
Address
619 E Mason St
City
State
Zip
62701-1034
Phone Number
217-788-0706
Fax Number
person
Provider Business Mailing Address Details
Address
619 E Mason St
City
State
Zip
62701-1034
Phone Number
217-788-0706
Fax Number
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Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
209008390 (Illinois)
Definition
Definition to come...
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