Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Colleen Marie Dougherty, CRNP

Individual provider Family Nurse Practitioner · NPI 1609392117

Colleen Marie Dougherty, CRNP is a Nurse Practitioner in Jermyn, Pennsylvania. Qualified in 2017, 9 years ago. Practices with The Wright Center Medical Group, a 37-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
9
Licensed in
PA
In the registry since
2017
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

5 S Washington Ave
Jermyn, PA 18433-1121
Phone: (570) 230-0019
Fax: (270) 230-0013
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence SP017680 (PA)

Record details

NPI number1609392117
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedAugust 16, 2017
Last updated in NPPESDecember 10, 2020
Certification dateDecember 10, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice The Wright Center Medical Group — 37 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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