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

Justin Douglas

Individual provider Registered Nurse First Assistant · NPI 1073153433

Justin Douglas is a Registered Nurse First Assistant in Brookhaven, Mississippi. Licensed in Mississippi. Registered with an NPI since 2020.

Licensed in
MS
In the registry since
2020

Practice location Address checks out

427 Highway 51 N
Brookhaven, MS 39601-2350
Phone: (601) 835-9275
Fax: (888) 965-6812
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse First Assistant (primary) Taxonomy 163WR0006X · Licence 854447 (MS)

Record details

NPI number1073153433
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 13, 2020
Last updated in NPPESJanuary 13, 2020
Certification dateJanuary 13, 2020
Mailing address427 Highway 51 N, Brookhaven, MS 39601-2350

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