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

Keri Douglas, FNP-BC

Individual provider Nurse Practitioner · NPI 1104201714

Keri Douglas, FNP-BC is a Nurse Practitioner in Centrailia, Illinois. Licensed in Illinois. Registered with an NPI since 2015.

Licensed in
IL
In the registry since
2015
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

See every abbreviation used in this directory →

Practice location Address checks out

1054 M L King Dr #125
Centrailia, IL 62801
Phone: (618) 436-5200
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 209.012941 (IL)

Record details

NPI number1104201714
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedJuly 24, 2015
Last updated in NPPESJuly 24, 2015