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NPI Code Detail

MEDICARE: MRS. ANNA MARIA DOUGLAS FNP-C

MEDICARE: MRS. ANNA MARIA DOUGLAS FNP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner21744CA
2363LF0000XFamily Nurse PractitionerAPRN11016580FL
3363LF0000XFamily Nurse PractitionerAPN.0990332-NPCO

General Provider Information

NPI Number : 1073882510
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ANNA MARIA DOUGLAS FNP-C
Provider Business Mailing Address
First Line : 13800 EGRETS NEST DR APT 1933
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32258-4250
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : PSC 475 BOX 1
Second Line :
City : FPO
State : AP
Zip : 96350-1200
Country : US
Telephone Number : 315-255-8100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/28/2011
Last Update Date : 03/20/2026

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