Individual provider · Type 1 NPI
Serah A. Douglas
Family Nurse Practitioner · Old Bridge, NJ
NPI number
1053216440
Active
Practice location
59 Alpha Ave
Old Bridge, NJ 08857-2226
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 26NJ15685500 (NJ) |
Family Nurse Practitioner: Definition to come...
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About NPI 1053216440
Serah A. Douglas's National Provider Identifier is 1053216440, issued on Oct 14, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Old Bridge, NJ. The record was last updated on Nov 2, 2026.