Active NPIIndividual provider

Ms. Karen Dougherty, NP

Nurse Practitioner, Family in Wildwood, New Jersey

NPI Number1124593868
Practice location
711 W Spruce Ave, Wildwood, NJ 08260-6017
Fax
—
Last updated
October 1, 2026

Karen Dougherty is a Nurse Practitioner, Family based in Wildwood, NJ. Karen Dougherty practices in Wildwood, NJ and has the professional credentials of NP. The NPI Number for Karen Dougherty is 1124593868 and holds a License No. SD-CNP002566 (SD). The current practice location address for Karen Dougherty is 711 W Spruce Ave, Wildwood, NJ 08260-6017 and can be reached out via phone at 856-600-1768.

Provider Profile Details

NPI Number
1124593868
Provider Name
Karen Dougherty
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
711 W Spruce Ave, Wildwood, NJ 08260-6017
Phone Number
856-600-1768
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
October 9, 2018
Last Update Date
October 1, 2026
Certification Date
October 1, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
711 W Spruce Ave
Wildwood, NJ 08260-6017
Zip
08260-6017
Phone Number
856-600-1768
Wildwood, NJ 08260Get directions →

Provider Business Mailing Address Details

Address
711 W Spruce Ave Apt B
Wildwood, NJ 08260-6017
City
Wildwood
State
NJ
Zip
08260-6017
Phone Number
856-905-4616

License Information

License Number (1)
SD-CNP002566
License State (1)
SD
Taxonomy (1)
Family Medicine · 207Q00000X
License Number (2)
R53236
License State (2)
ND
Taxonomy (2)
Family Medicine · 207Q00000X
License Number (3)
26802
License State (3)
SC
Taxonomy (3)
Family Medicine · 207Q00000X
License Number (4)
5017682
License State (4)
NC
Taxonomy (4)
Family Medicine · 207Q00000X
License Number (5)
26NJ00865400
License State (5)
NJ
Taxonomy (5)
Nurse Practitioner, Family · 363LF0000X · Primary
License Number (6)
114079
License State (6)
WV
Taxonomy (6)
Family Medicine · 207Q00000X
License Number (7)
GAA-NP000985
License State (7)
GA
Taxonomy (7)
Family Medicine · 207Q00000X
License Number (8)
10956
License State (8)
CT
Taxonomy (8)
Family Medicine · 207Q00000X
License Number (9)
F35136-01
License State (9)
NY
Taxonomy (9)
Family Medicine · 207Q00000X
License Number (10)
SP025833
License State (10)
PA
Taxonomy (10)
Family Medicine · 207Q00000X
License Number (11)
0024184826
License State (11)
VA
Taxonomy (11)
Family Medicine · 207Q00000X
License Number (12)
14147-33
License State (12)
WI
Taxonomy (12)
Family Medicine · 207Q00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Karen Dougherty, NP?

The NPI number of Ms. Karen Dougherty, NP is 1124593868. It was assigned on October 9, 2018 and is currently active in the NPPES registry.

What is the specialty of Ms. Karen Dougherty, NP?

Ms. Karen Dougherty, NP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in SD under license number SD-CNP002566.

Where does Ms. Karen Dougherty, NP practice?

The practice location is 711 W Spruce Ave, Wildwood, NJ 08260-6017. The office can be reached at 856-600-1768 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124593868 directly on the NPPES registry website.

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