Individual provider · Type 1 NPI
Nicole Marie Douglas, APN
Adult Health Nurse Practitioner · Chester, NJ
NPI number
1215527874
Active
Practice location
415 Route 24 Ste E
Chester, NJ 07930-2920
Mailing address
19 Redwood Rd
Martinsville, NJ 08836-2373
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 26NJ01103800 (NJ) |
Adult Health Nurse Practitioner: Definition to come...
About NPI 1215527874
Nicole Marie Douglas, APN's National Provider Identifier is 1215527874, issued on Jan 19, 2021. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Chester, NJ. The record was last updated on Jan 19, 2021.