Shandel Douglas

APN | Nurse Practitioner - Primary Care | 9+ years Exp

310 Central Avenue, Suite 102, East Orange
  New Jersey, 07018
973-395-1550
Accepts Medicare Nurse Anesthetist in East Orange, New Jersey.
Shandel Douglas is a East Orange, New Jersey based nurse practitioner with 9 years of experience in Primary Care. She completed her graduation in 2016. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Shandel Douglas is 26NJ00747600 for Primary Care in New Jersey. Her current practice location is 310 Central Avenue, Suite 102, East Orange. Patients can reach her at 973-395-1550 or can fax her at 973-395-1556. Shandel Douglas is APN with specialization in Primary Care and her NPI number (Unique professional ID assigned by NPPES) is 1649798455.
Shandel Douglas is educated, certified and licensed to provide comprehensive, chronic, continuous care characterized by a long-term relationship with the patient. Primary Care Nurse Practitioners (PCNPs) screen, diagnose, and treat common acute and chronic medical diseases and conditions. They are also involved in health promotion, screening, and educating about primary prevention.
Complete Profile:
Shandel Douglas speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Shandel Douglas
Specialization: Primary Care Nurse Practitioner (PCNP)
Gender:Female
Credentials: APN
Experience: 9+ years
Medical School Attended:Other
Graduation Year:2016
Accepts Medicare Assignment:Yes
Practice Address:310 Central Avenue, Suite 102, East Orange,
New Jersey, 07018
Phone:973-395-1550
Fax:973-395-1556
Professional Identification Codes:
NPI number stands for National Provider Identifier which 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). NPI details are as mentioned below.
PAC ID: 7012273790
Enrollment ID: I20171113003306
NPI Number: 1649798455
NPI Enumeration Date: 31 Aug, 2017
NPI Last Update On: 24 Apr, 2019

Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Shandel Douglas are as mentioned below.
License NumberSpecializationStateStatus
26NJ00747600Primary Care New JerseyPrimary
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name with which Shandel Douglas is associated with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Practitioner Support Services Llp (3375596984)121
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Shandel Douglas
21 Edgewood Road,
Summit, New Jersey
Zip: 07901
Phone Number: 973-395-1550
Fax Number: 973-395-1556
Patients can reach Shandel Douglas at 310 Central Avenue, Suite 102, East Orange, New Jersey or can call to book an appointment on 973-395-1550.
Comments/ Reviews:

Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.