JACOB DOUGHERTY

CENTERVILLE, OH
NPI1821712316
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: OH  APRN.CNP.0032076)
Enumeration Date2022-09-28
Last Update Date2022-12-17
Business Address
JACOB DOUGHERTY AGACNP-BC
2400 MIAMI VALLEY DR
CENTERVILLE, OH 45459-4774
Phone number: 937-438-2400
Mailing Address
JACOB DOUGHERTY AGACNP-BC
463 COLUMBUS AVE UNIT 23
LEBANON, OH 45036-2688
Phone number:
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