IndividualActive
Jacqueline Douglas
NPI 1023523479 · Contractor · Detroit, MI
Jacqueline Douglas is a Contractor provider in Detroit, MI (NPI 1023523479).
Provider details
- NPI number
- 1023523479
- Entity type
- Individual
- Primary specialty
- ContractorOther Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Practice location
1121 E Mcnichols Rd
Detroit, MI 48203-2857
Phone: (616) 365-3100
Fax: (313) 365-3098
Street-level locationGet directions
Mailing address
1121 E Mcnichols Rd
Detroit, MI 48203-2857
Registry dates
- Enumerated
- 2017-12-07
- Last updated
- 2017-12-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.