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

Thomas G Douglas, NP

Individual provider Family Nurse Practitioner · NPI 1851686182

Thomas G Douglas, NP is a Nurse Practitioner in Mount Vernon, Missouri. Qualified in 2011, 15 years ago. Practices with Citizens Memorial Healthcare, a 145-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
15
Licensed in
MO
In the registry since
2011
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

108 S Hickory St
Mount Vernon, MO 65712-1407
Phone: (417) 466-4110
Fax: (417) 466-4255
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2011016629 (MO)

Record details

NPI number1851686182
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedJune 15, 2011
Last updated in NPPESJune 15, 2011
Mailing address2828 N National Ave, Springfield, MO 65803-4306

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Citizens Memorial Healthcare — 145 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

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