Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jeri-Sue Douglas

Individual provider Registered Nurse · NPI 1477312809

Jeri-Sue Douglas is a Registered Nurse in Medford, New York. Licensed in New York. Registered with an NPI since 2024.

Licensed in
NY
In the registry since
2024

Practice location Address checks out

328 Peconic Ave
Medford, NY 11763-3549
Phone: (631) 521-3821
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 509726 (NY)

Record details

NPI number1477312809
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 18, 2024
Last updated in NPPESMarch 18, 2024
Certification dateMarch 18, 2024
Mailing address328 Peconic Ave, Medford, NY 11763-3549

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