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

Mrs. Octavia Douglas

Individual provider Licensed Practical Nurse · NPI 1376161059

Mrs. Octavia Douglas is a Licensed Practical Nurse in Levittown, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2020
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Practice location Address checks out

70 Highland Park Dr
Levittown, PA 19056-1338
Phone: (908) 954-8942
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence PN309164 (PA)

Record details

NPI number1376161059
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 9, 2020
Last updated in NPPESJuly 9, 2020
Certification dateJuly 9, 2020
Mailing address70 Highland Park Dr, Levittown, PA 19056-1338

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