Provider Demographics
NPI:1144620022
Name:CHEEK, DOUGLAS J (FNP)
Entity Type:Individual
Prefix:
First Name:DOUGLAS
Middle Name:J
Last Name:CHEEK
Suffix:
Gender:M
Credentials:FNP
Other - Prefix:
Other - First Name:DOUGLAS
Other - Middle Name:JEFFERSON
Other - Last Name:CHEEK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:FNP
Mailing Address - Street 1:PO BOX 37174
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21297-3174
Mailing Address - Country:US
Mailing Address - Phone:571-423-5699
Mailing Address - Fax:571-423-5698
Practice Address - Street 1:9321 SANGER ST STE 203
Practice Address - Street 2:
Practice Address - City:LORTON
Practice Address - State:VA
Practice Address - Zip Code:22079-2720
Practice Address - Country:US
Practice Address - Phone:703-982-8390
Practice Address - Fax:703-982-8391
Is Sole Proprietor?:No
Enumeration Date:2014-08-28
Last Update Date:2023-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA002171976363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily