JACOB DOUGHERTY

CENTERVILLE, OH
NPI1821712316
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LG0600X Nurse Practitioner, Gerontology
(Licence: OH  APRN.CNP.0032076)
Enumeration Date2022-09-28
Last Update Date2026-03-11
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
1 PRESTIGE PL STE 550
MIAMISBURG, OH 45342-6115
Phone number: 937-762-1306
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