Individual provider · Type 1 NPI

Heather Tiffany Dougherty, MSN RN PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · San Diego, CA

NPI number 1033853114 Active

Practice location

15373 Innovation Dr Ste 390
San Diego, CA 92128-3429

Mailing address

3835 N Freeway Blvd Ste 100
Sacramento, CA 95834-1954

Other practice locations

  • 2116 Raymond Ave, Ramona, CA 92065-3034 · (760) 703-7380
  • 11770 Bernardo Plaza Ct Ste 370, San Diego, CA 92128-2426 · (858) 673-3360
  • 11878 Avenue Of Industry, San Diego, CA 92128-3423 · (858) 487-3200

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Registered Nurse 163WP0808X95093407 (CA)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X95021374 (CA)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

8 other providers at this address

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About NPI 1033853114

Heather Tiffany Dougherty, MSN RN PMHNP-BC's National Provider Identifier is 1033853114, issued on Apr 25, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in San Diego, CA. The record was last updated on Nov 2, 2026.