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Contact Information

CHELSEA DOUGLAS
5565 FRIST BOULEVARD
HERMITAGE, TN37076
 Phone: 615-316-3000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for CHELSEA DOUGLAS · (Female)

NPI # 1164979753
Status Active
Credentials
Entity Individual
Enumeration date 09/01/2016
Last updated 09/01/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • TN License # APN0000021489
Hospital affiliation(s)
  • GATEWAY MEDICAL CENTER - (Acute Care)
    651 DUNLOP LANE
    CLARKSVILLE, TN 37040
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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