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

MS. Jennifer Douglas, RN00123804

Individual provider Administrator Registered Nurse · NPI 1235476706

MS. Jennifer Douglas, RN00123804 is an Administrator Registered Nurse in Walla Walla, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2013
Specialties on file
3

Practice location Address checks out

1520 Kelly Pl Ste 220
Walla Walla, WA 99362-8607
Phone: (509) 520-2924
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence AP60427024 (WA)
Administrator Registered Nurse Taxonomy 163WA2000X · Licence RN00123804 (WA)
School Registered Nurse Taxonomy 163WS0200X · Licence RN00123804 (WA)

Record details

NPI number1235476706
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN00123804
Sole proprietorYes
NPI enumeratedJanuary 3, 2013
Last updated in NPPESJanuary 15, 2014

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