Individual provider · Type 1 NPI

Jennifer Pothoven Dougherty, NP

Pediatric Nurse Practitioner · Durham, NC

NPI number 1487083192 Active

Practice location

2301 Erwin Road, Cb #102346
Durham, NC 27705

Fax (919) 668-4859

Specialties and licenses

TaxonomyCodeLicense
Pediatric Registered Nurse 163WP0200XRN637152 (PA)
Pediatric Nurse Practitioner 363LP0200XSP013365 (PA)
Pediatric Nurse Practitioner Primary 363LP0200X5008859 (NC)

Pediatric Nurse Practitioner: Definition to come...

7 other providers at this address

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About NPI 1487083192

Jennifer Pothoven Dougherty, NP's National Provider Identifier is 1487083192, issued on Nov 3, 2013. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Durham, NC. The record was last updated on May 9, 2022.