Individual
MRS. CAMELLIA DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
525 N TRYON ST STE 1600, CHARLOTTE, NC 28202-0213
(877) 306-1683
Mailing address
525 N TRYON ST STE 1600, CHARLOTTE, NC 28202-0213
(877) 306-1683
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5009819
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5009819
NC
Other
Enumeration date
09/01/2017
Last updated
04/30/2024
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