Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GERSHOM JACOB DOUGLAS, APNP
Active Sole ProprietorGERSHOM JACOB DOUGLAS, APNP is a Nurse Practitioner healthcare provider located in GAFFNEY, South Carolina. NPI 1902568942 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · GAFFNEY, SC
Registration Details
- NPI Number
- 1902568942
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 7, 2021 (4.8098544743269 yrs)
- Last Updated
- Sep 14, 2023
- Licenses
-
1135733 (WI)27568 (SC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1506 N LIMESTONE ST STE BGAFFNEY, SC, 293404747Browse SC providers · Browse ZIP 29340
- Phone
- 8644894498
- Primary Specialty
-
Nurse Practitioner
363L00000X
- Additional Specialty
- Nurse Practitioner
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.