Jennifer Douglas, RN00123804
NPI 1235476706ActiveIndividual· Nurse Practitioner, Psych/Mental Health· Walla Walla, WA
Nurse Practitioner, Psych/Mental Health (RN00123804) in Walla Walla, Washington, licensed in WA, with an NPI issued in January 2013.
Overview
| NPI | 1235476706 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RN00123804 |
| Sole proprietor | Yes |
| NPI issued | Jan 3, 2013 |
| Last updated in NPPES | Jan 15, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Psych/Mental Health Primary | 363LP0808X | AP60427024 | WA |
| Registered Nurse, Administrator | 163WA2000X | RN00123804 | WA |
| Registered Nurse, School | 163WS0200X | RN00123804 | WA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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