person
Shandel Douglas, APN
Primary Care Nurse Practitioner in East Orange, New Jersey
NPI 1649798455

Shandel Douglas is a Primary Care Nurse Practitioner based in Summit, NJ and is specialized in Primary Care. Shandel Douglas practices in East Orange, NJ and has the professional credentials of APN. The NPI Number for Shandel Douglas is 1649798455 and holds a License No. 26NJ00747600 (New Jersey).

The current practice location address for Shandel Douglas is 310 Central Avenue, East Orange, NJ and can be reached out via phone at 973-395-1550 and via fax at 973-395-1556. You can also correspond with Shandel Douglas through the mailing address at 21 EDGEWOOD ROAD, SUMMIT, NJ - 07901 (mailing address contact number: 973-395-1550).

Location: 310 Central Avenue, East Orange, NJ, 07901
person
Provider Profile Details
NPI Number
1649798455
Provider Name
Shandel Douglas
Credential
APN
Provider Entity Type
Individual
Gender
Female
Address
310 Central Avenue, East Orange, NJ, 07901
Phone Number
973-395-1550
Fax Number
973-395-1556
Provider Enumeration Date
08/31/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
310 Central Avenue
City
State
Zip
07018
Phone Number
973-395-1550
Fax Number
973-395-1556
person
Provider Business Mailing Address Details
Address
21 Edgewood Road
City
State
Zip
07901
Phone Number
973-395-1550
Fax Number
973-395-1556
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
26NJ00747600 (New Jersey)
Definition
Definition to come...
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