Active NPIIndividual provider

Mrs. Nicole M Douglas, APN

Nurse Practitioner, Adult Health in Chester, New Jersey

NPI Number1215527874
Practice location
415 Route 24 Ste E, Chester, NJ 07930-2920
Fax
—
Last updated
January 19, 2021

Nicole Marie Douglas is a Nurse Practitioner, Adult Health based in Chester, NJ. Nicole Marie Douglas practices in Chester, NJ and has the professional credentials of APN. The NPI Number for Nicole Marie Douglas is 1215527874 and holds a License No. 26NJ01103800 (NJ). The current practice location address for Nicole Marie Douglas is 415 Route 24 Ste E, Chester, NJ 07930-2920 and can be reached out via phone at 908-879-1500.

Provider Profile Details

NPI Number
1215527874
Provider Name
Nicole Marie Douglas
Credential
APN
Provider Entity Type
Individual
Gender
Female
Address
415 Route 24 Ste E, Chester, NJ 07930-2920
Phone Number
908-879-1500
Primary Taxonomy
Nurse Practitioner, Adult Health · 363LA2200X
Sole Proprietor
No
Provider Enumeration Date
January 19, 2021
Last Update Date
January 19, 2021
Certification Date
January 19, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
415 Route 24 Ste E
Chester, NJ 07930-2920
Zip
07930-2920
Phone Number
908-879-1500
Chester, NJ 07930Get directions →

Provider Business Mailing Address Details

Address
19 Redwood RD
Martinsville, NJ 08836-2373
City
Martinsville
State
NJ
Zip
08836-2373
Phone Number
732-977-8506

License Information

License Number
26NJ01103800
License State
NJ
Taxonomy
Nurse Practitioner, Adult Health · 363LA2200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Nicole M Douglas, APN?

The NPI number of Mrs. Nicole M Douglas, APN is 1215527874. It was assigned on January 19, 2021 and is currently active in the NPPES registry.

What is the specialty of Mrs. Nicole M Douglas, APN?

Mrs. Nicole M Douglas, APN is registered under the primary taxonomy Nurse Practitioner, Adult Health (code 363LA2200X), licensed in NJ under license number 26NJ01103800.

Where does Mrs. Nicole M Douglas, APN practice?

The practice location is 415 Route 24 Ste E, Chester, NJ 07930-2920. The office can be reached at 908-879-1500 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1215527874 directly on the NPPES registry website.

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