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NICOLE DOUGLAS MSN, APRN, PMHNP-BC
NPI 1700257268
Nurse Practitioner - Psychiatric/Mental Health in Camden, NJ

Active since October 09, 2015
817 FEDERAL ST, CAMDEN, NJ 08103(856) 583-2400 Get Directions Write a Review

NPPES record last updated: June 16, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Nicole Douglas Msn, Aprn, Pmhnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE DOUGLAS MSN, APRN, PMHNP-BC (NPI 1700257268) is an individual psychiatric/mental health provider in Camden, New Jersey, licensed in New Jersey (26NJ15501200) and active in the NPI registry since October 2015. She maintains a secondary practice location in Clementon.

NPPES Registry Identity

NPI1700257268
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameNICOLE DOUGLASCredential: MSN, APRN, PMHNP-BC
Location Address817 FEDERAL STCamden, NJ 08103-1539
Mailing Address817 Federal StCamden, NJ 08103-1539 · (856) 583-2400
Phone(856) 583-2400
Sole ProprietorNo
Enumeration DateOctober 9, 2015
Last NPPES UpdateJune 16, 2026
NPPES CertifiedJune 16, 2026
✔ NPI 1700257268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NJ · 26NJ15501200
Also ListedRegistered NurseTaxonomy 163W00000X · License 26NR13694800 (NJ)
817 FEDERAL ST, Camden, NJ 08103
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Secondary Practice Location 1

Location 1121 White Horse Pike # 4158Clementon, NJ 08021-4158 · Phone (856) 583-2400

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JURIS M SVARCBERGS D.M.D.
Dentist (General Practice)
817 FEDERAL ST, CAMCARE HEALTH CORP. SUITE 202
CAMDEN, NJ 08103
Camden County (856) 963-8768
FLORENCE N MANSON MD
Specialist
817 FEDERAL ST
CAMDEN, NJ 08103
Camden County (856) 541-9811
WILLIAM K KNOWLES MD
Internal Medicine
817 FEDERAL ST
CAMDEN, NJ 08103
Camden County (856) 541-8217
MARILYN L GORDON MD
Internal Medicine
817 FEDERAL ST
CAMDEN, NJ 08103
Camden County (856) 541-8217
JIMMIE YOUNG MD
Internal Medicine
817 FEDERAL ST
CAMDEN, NJ 08103
Camden County (856) 541-8217
MARANGELY DIAZ
Nurse Practitioner (Adult Health)
817 FEDERAL ST
CAMDEN, NJ 08103
Camden County (856) 602-4703
DR. KEVIN ARTHUR BADOLATO M.D., M.P.H.
Pediatrics
817 FEDERAL ST, SUITE 300
CAMDEN, NJ 08103
Camden County (856) 583-2415
KENNETH KLAUSMAN M.D.
Internal Medicine
817 FEDERAL ST
CAMDEN, NJ 08103
Camden County (856) 541-8217

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Douglas's NPI number?

The NPI number for Nicole Douglas is 1700257268. It was assigned to this individual provider in the NPPES registry on October 9, 2015.

Where is Nicole Douglas located?

Nicole Douglas practices at 817 Federal St, Camden, NJ 08103. The listed phone number is (856) 583-2400.

What is Nicole Douglas's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Nicole Douglas was last updated on June 16, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.