Bulk check

Jennifer Pothoven Dougherty, NP

Nurse Practitioner, Pediatrics in Durham, NC. Individual provider (NPI-1).

NPI number1487083192
StatusActive
Last updated in NPPESMay 9, 2022

Details

NPI
1487083192
Entity type
Individual (NPI-1)
Name
Jennifer Pothoven Dougherty
Credential
NP
Sex
Female
Sole proprietor
No
Enumeration date
Nov 3, 2013
Certification date
May 9, 2022
Last updated
May 9, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0200X Nurse Practitioner, Pediatrics5008859NCYes
163WP0200X Registered Nurse, PediatricsRN637152PA
363LP0200X Nurse Practitioner, Pediatricssp013365PA

Practice location

2301 Erwin Road
Cb #102346
Durham, NC 27705

Phone 919-684-6335 · Fax 919-668-4859

Mailing address

2301 Erwin Road
Cb #102346
Durham, NC 27705

Phone 919-684-6335 · Fax 919-668-4859

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Pediatric Nurse Practitioner providers in Durham, NC

All 68 Pediatric Nurse Practitioner providers in Durham · All 16,553 providers in Durham

Checking a whole list?

Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.

Start a bulk check