Individual provider · Type 1 NPI

Colleen Marie Dougherty, CRNP

Family Nurse Practitioner · Jermyn, PA

NPI number 1609392117 Active

Practice location

5 S Washington Ave
Jermyn, PA 18433-1121

Fax (270) 230-0013

Mailing address

836 N Irving Ave
Scranton, PA 18510

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XSP017680 (PA)

Family Nurse Practitioner: Definition to come...

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About NPI 1609392117

Colleen Marie Dougherty, CRNP's National Provider Identifier is 1609392117, issued on Aug 16, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Jermyn, PA. The record was last updated on Dec 10, 2020.