Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Paseo Shatelle Douglas, NP

Individual provider Family Nurse Practitioner · NPI 1972155471

Paseo Shatelle Douglas, NP is a Nurse Practitioner in Florence, South Carolina. Graduated from University of South Carolina School of Medicine in 2019, 7 years ago. Practices with Palm Grove Regional Health LLC, a 3-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
7
Trained at
University of South Carolina School of Medicine
Licensed in
SC
In the registry since
2019
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

2200 S Irby St
Florence, SC 29505-3423
Phone: (843) 662-9945
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 316 2nd St, Cheraw, SC 29520-2404 — (843) 921-4851

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 23045 (SC)

Record details

NPI number1972155471
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJuly 15, 2019
Last updated in NPPESSeptember 23, 2022
Certification dateSeptember 23, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Palm Grove Regional Health Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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