Jessica Lynn Douglas, MD Valid NPI

Individual provider · Family Medicine Physician · Bay St Louis, MS

NPI

1194188722

Type

Individual (Type 1)

Primary specialty

Family Medicine Physician (Family Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207Q00000X

License number

26862 (MS)

Sex

Female

Sole proprietor

No

Enumerated

2016-03-31

Last updated

2019-07-19