Individual provider · Type 1 NPI

Tamera Shantel Douglas

Gerontology Nurse Practitioner · Little Rock, AR

NPI number 1881270122 Active

Practice location

8901 Carti Way
Little Rock, AR 72205-6523

Other practice locations

  • 1300 Centerview Dr, Little Rock, AR 72211-4349 · (501) 219-8900

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X214797 (AR)
Gerontology Nurse Practitioner Primary 363LG0600X214797 (AR)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1881270122

Tamera Shantel Douglas's National Provider Identifier is 1881270122, issued on Mar 18, 2021. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Little Rock, AR. The record was last updated on Jun 26, 2025.