Jacob Dougherty, AGACNP-BC
Jacob Dougherty, AGACNP-BC is a Nurse Practitioner in Centerville, Ohio. Graduated from University of Cincinnati College of Medicine in 2022, 4 years ago. Practices with Kettering Independent Medical Group Inc, a 700-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Ohio.
- Years since qualifying
- 4
- Trained at
- University of Cincinnati College of Medicine
- Licensed in
- OH
- In the registry since
- 2022
Practice location Address checks out
2400 Miami Valley DrCenterville, OH 45459-4774
Phone: (937) 438-2400
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 3095 Dayton Xenia Rd Ste 900, Dayton, OH 45434-4311 — (937) 458-4010
Specialties & licences
| Gerontology Nurse Practitioner (primary) | Taxonomy 363LG0600X · Licence APRN.CNP.0032076 (OH) |
|---|
Record details
| NPI number | 1821712316 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | AGACNP-BC |
| Sole proprietor | Yes |
| NPI enumerated | September 28, 2022 |
| Last updated in NPPES | March 11, 2026 |
| Certification date | March 11, 2026 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE |
| Graduated | 2022 (4 years in practice) |
| Group practice | Kettering Independent Medical Group Inc — 700 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Centerville
-
Richard Foreman
2350 Miami Valley Dr Ste 210, Centerville, OH 45459-4778 · (937) 276-8320
-
Angela Mathes, NP
2400 Miami Valley Dr, Centerville, OH 45459-4774 · (937) 438-2400
-
Fontaine Williams
2350 Miami Valley Dr Ste 500, Centerville, OH 45459-4780 · (937) 293-1622