Individual provider · Type 1 NPI
Camellia Douglas, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Charlotte, NC
NPI number
1114445905
Active
Practice location
8401 Medical Plaza Dr Ste 350
Charlotte, NC 28262-8700
Fax (980) 500-1522
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 5009819 (NC) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 5009819 (NC) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1114445905
Camellia Douglas, PMHNP's National Provider Identifier is 1114445905, issued on Sep 1, 2017. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Charlotte, NC. The record was last updated on Jun 3, 2026.