Individual provider · Type 1 NPI
Jonna L. Dougherty, NNP
Neonatal Nurse Practitioner · Kansas City, MO
NPI number
1124101936
Active
Practice location
4401 Wornall Rd, St. Luke's Hospital
Kansas City, MO 64111-3220
Fax (816) 932-6139
Mailing address
11613 Oakmont St
Overland Park, KS 66210-1334
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Neonatal Nurse Practitioner | 363LN0000X | 45393 (KS) |
| Neonatal Nurse Practitioner Primary | 363LN0000X | 139986 (MO) |
Neonatal Nurse Practitioner: Definition to come...
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About NPI 1124101936
Jonna L. Dougherty, NNP's National Provider Identifier is 1124101936, issued on Oct 23, 2006. The primary taxonomy on file is Neonatal Nurse Practitioner (363LN0000X), and the practice location is in Kansas City, MO. The record was last updated on Jul 8, 2007.