IndividualActive
Analise Douglas, M.D.
NPI 1396279451 · Interventional Cardiology Physician · Jackson, MS
Provider details
- NPI number
- 1396279451
- Entity type
- Individual
- Primary specialty
- Interventional Cardiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 70752 (CT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Student, Health Care
Practice location
970 Lakeland Dr Ste 61
Jackson, MS 39216-4634
Phone: (601) 982-7850
Approximate (ZIP-level) locationGet directions
Mailing address
970 Lakeland Dr Ste 61
Jackson, MS 39216-4634
Additional practice locations (1)
- 969 Lakeland DrJackson, MS 39216-4606Phone: (601) 200-2000Fax: (601) 200-0166
Registry dates
- Enumerated
- 2017-04-16
- Last updated
- 2025-08-01
- Certified
- 2025-08-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.