Provider Demographics
NPI:1447018965
Name:DOUYON, JOLANDA (LPN)
Entity type:Individual
Prefix:
First Name:JOLANDA
Middle Name:
Last Name:DOUYON
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:JOLANDA
Other - Middle Name:
Other - Last Name:DOUYON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPN
Mailing Address - Street 1:45A JOHNSON ST
Mailing Address - Street 2:
Mailing Address - City:TAUNTON
Mailing Address - State:MA
Mailing Address - Zip Code:02780-3606
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:45A JOHNSON ST
Practice Address - Street 2:
Practice Address - City:TAUNTON
Practice Address - State:MA
Practice Address - Zip Code:02780-3606
Practice Address - Country:US
Practice Address - Phone:857-284-2872
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-11
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MALN100258164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse