Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jaclyn Blaire Daugherty, CRNP-PMH

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1477197424

Jaclyn Blaire Daugherty, CRNP-PMH is a Nurse Practitioner in Frederick, Maryland. Qualified in 2019, 7 years ago. Practices with Mosaic Community Services, Inc, a 60-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Maryland.

Years since qualifying
7
Licensed in
MD
In the registry since
2019
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Practice location Address checks out

604 Solarex Ct Unit 201
Frederick, MD 21703-8655
Phone: (301) 663-8263
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence R204851 (MD)

Record details

NPI number1477197424
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP-PMH
Sole proprietorNo
NPI enumeratedNovember 3, 2019
Last updated in NPPESMarch 4, 2020
Certification dateMarch 4, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Mosaic Community Services, Inc — 60 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Frederick