Individual provider · Type 1 NPI
Gershom Jacob Douglas, APNP
Nurse Practitioner · Shelby, NC
Practice location
1019 N Lafayette St Ste 1
Shelby, NC 28150-3746
Fax (704) 487-9891
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 5019427 (NC) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
4 other providers at this address
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- Kristin Hamrick, FNPNurse Practitioner Shelby, NC NPI 1093257966
- Amy Saxton, FNPNurse Practitioner Shelby, NC NPI 1114910544
- Carla Annette Gibson-Detering, FNPNurse Practitioner Shelby, NC NPI 1164483343
- Jessica Bivins Smith, FNPNurse Practitioner Shelby, NC NPI 1245869155
- Mitzi L. Redmond, NPNurse Practitioner Shelby, NC NPI 1255470662
About NPI 1902568942
Gershom Jacob Douglas, APNP's National Provider Identifier is 1902568942, issued on Oct 7, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Shelby, NC. The record was last updated on Oct 14, 2026.