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

MS. Jacqueline Denise Douglas

Individual provider Contractor · NPI 1023523479

MS. Jacqueline Denise Douglas is a Contractor in Detroit, Michigan. Practices as a sole proprietor. Registered with an NPI since 2017.

In the registry since
2017

Practice location Address checks out

1121 E McNichols Rd
Detroit, MI 48203-2857
Phone: (616) 365-3100
Fax: (313) 365-3098
Show map & directions

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

Specialties & licences

Contractor (primary) Taxonomy 171W00000X

Record details

NPI number1023523479
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 7, 2017
Last updated in NPPESDecember 7, 2017

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