Gershom Jacob Douglas, APNP
Gershom Jacob Douglas, APNP is a Nurse Practitioner in Gaffney, South Carolina. Qualified in 2021, 5 years ago. Practices with Nephrology Associates of the Carolinas PA, a 6-clinician group and accepts Medicare assignment. Licensed in South Carolina and Wisconsin.
- Years since qualifying
- 5
- Licensed in
- SC, WI
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
1506 N Limestone St Ste BGaffney, SC 29340-4747
Phone: (864) 489-4498
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X · Licence 27568 (SC) |
|---|---|
| Nurse Practitioner | Taxonomy 363L00000X · Licence 1135733 (WI) |
Record details
| NPI number | 1902568942 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | APNP |
| Sole proprietor | Yes |
| NPI enumerated | October 7, 2021 |
| Last updated in NPPES | September 14, 2023 |
| Certification date | September 14, 2023 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Group practice | Nephrology Associates Of The Carolinas Pa — 6 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Gaffney
-
Stacie Horne Young, NP
139 Medical Center Dr, Gaffney, SC 29340-4823 · (864) 487-7186