Kathleen Dougherty

Individual provider Addiction (Substance Use Disorder) Registered Nurse · NPI 1508511080

Kathleen Dougherty is an Addiction (Substance Use Disorder) Registered Nurse in Jacksonville Beach, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in: FL
In the registry since: 2022

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Practice location Address checks out

1597 The Greens Way
Jacksonville Beach, FL 32250-1401
Phone: (904) 425-9648

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

Specialties & licences

Addiction (Substance Use Disorder) Registered Nurse (primary)	Taxonomy 163WA0400X · Licence RN9183201 (FL)

Record details

NPI number	1508511080
Entity type	Individual (Type 1)
Gender	Female
Sole proprietor	Yes
NPI enumerated	February 14, 2022
Last updated in NPPES	February 14, 2022
Certification date	February 14, 2022
Mailing address	10532 Lantana Lakes Dr N, Jacksonville, FL 32246-4633