Audra M Douglas
Audra M Douglas is a Nurse Practitioner in Newburgh, Indiana. Qualified in 2017, 9 years ago. Practices with St Marys Medical Group LLC, a 228-clinician group and accepts Medicare assignment. Licensed in Indiana.
- Years since qualifying
- 9
- Licensed in
- IN
- In the registry since
- 2017
Practice location Address checks out
100 St Marys Epworth Xing Ste A100Newburgh, IN 47630-9694
Phone: (812) 469-8160
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence 71007465A (IN) |
|---|
Record details
| NPI number | 1801319256 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 18, 2017 |
| Last updated in NPPES | June 20, 2022 |
| Certification date | June 20, 2022 |
| Mailing address | 100 St Marys Epworth Xing # A100, Newburgh, IN 47630-9497 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2017 (9 years in practice) |
| Group practice | St Marys Medical Group Llc — 228 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
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