Shandel Douglas, APN
Nurse Practitioner, Psych/Mental Health in River Edge, NJ. Individual provider (NPI-1).
NPI number1649798455
StatusActive
Last updated in NPPESDec 31, 2025
Details
- NPI
- 1649798455
- Entity type
- Individual (NPI-1)
- Name
- Shandel Douglas
- Credential
- APN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 31, 2017
- Certification date
- Dec 31, 2025
- Last updated
- Dec 31, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 26NJ00747600 | NJ | Yes |
| 363LP2300X | Nurse Practitioner, Primary Care | 26NJ00747600 | NJ |
Practice location
887 Kinderkamack RdRiver Edge, NJ 07661-2307
Phone 201-464-0860
Mailing address
887 Kinderkamack RdRiver Edge, NJ 07661-2307
Phone 201-464-0860
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Other Psychiatric/Mental Health Nurse Practitioner providers in River Edge, NJ
- Joshua Bryan MasarofNPI 1386557122
- Mireya Pazmino, APNNPI 1205767829
- Daniel A Rector, RNNPI 1134957806
- Caroline W Wiltshire, APNNPI 1508608746
All 5 Psychiatric/Mental Health Nurse Practitioner providers in River Edge · All 238 providers in River Edge
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