Individual
MRS. BRENDA L DOUGLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-BC, RN
Contact information
Practice address
11 VILLAGE DR, CAPE MAY COURT HOUSE, NJ 08210-1939
(609) 465-2273
Mailing address
1 FEDERAL ST # 200, CAMDEN, NJ 08103-1088
(856) 356-4924
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
26NJ00120600
NJ
363LF0000X
Family Nurse Practitioner
Primary
26NJ00120600
NJ
Other
Enumeration date
12/14/2006
Last updated
05/06/2025
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