person
Kathleen Dougherty
Addiction (Substance Use Disorder) Registered Nurse in Jacksonville Beach, Florida
NPI 1508511080

Kathleen Dougherty is an Addiction (Substance Use Disorder) Registered Nurse based in Jacksonville, FL and is specialized in Addiction (Substance Use Disorder). Kathleen Dougherty practices in Jacksonville Beach, FL. The NPI Number for Kathleen Dougherty is 1508511080 and holds a License No. RN9183201 (Florida).

The current practice location address for Kathleen Dougherty is 1597 The Greens Way, Jacksonville Beach, FL and can be reached out via phone at 904-425-9648.

Location: 1597 The Greens Way, Jacksonville Beach, FL, 32246-4633
person
Provider Profile Details
NPI Number
1508511080
Provider Name
Kathleen Dougherty
Credential
Provider Entity Type
Individual
Gender
Female
Address
1597 The Greens Way, Jacksonville Beach, FL, 32246-4633
Phone Number
904-425-9648
Fax Number
Provider Enumeration Date
02/14/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1568985406 01 FL INSURANCE
institution
Provider Business Practice Location Address Details
Address
1597 The Greens Way
City
State
Zip
32250-1401
Phone Number
904-425-9648
Fax Number
person
Provider Business Mailing Address Details
Address
1597 The Greens Way
City
State
Zip
32250-1401
Phone Number
904-425-9648
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
RN9183201 (Florida)
Definition
Definition to come...
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