Provider Demographics
NPI:1538305669
Name:DOUILLARD, KATHARINE JANKE HUDDLESTON (WHNP-BC, RN)
Entity Type:Individual
Prefix:MRS
First Name:KATHARINE
Middle Name:JANKE HUDDLESTON
Last Name:DOUILLARD
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Gender:F
Credentials:WHNP-BC, RN
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Mailing Address - Street 1:300 20TH AVE NORTH
Mailing Address - Street 2:SUITE 106
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203
Mailing Address - Country:US
Mailing Address - Phone:615-284-5887
Mailing Address - Fax:615-284-5889
Practice Address - Street 1:329 21ST AVE N STE 4
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-1838
Practice Address - Country:US
Practice Address - Phone:615-329-9333
Practice Address - Fax:615-329-0222
Is Sole Proprietor?:No
Enumeration Date:2008-12-18
Last Update Date:2010-10-26
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Provider Licenses
StateLicense IDTaxonomies
TN13109363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health