Dougherty, Jennifer Pothoven
Dougherty, Jennifer Pothoven is an individual health care provider with primary practice located at 2301 Erwin Road Cb #102346, Durham NC 27705. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Dougherty, Jennifer Pothoven can be contacted via phone (919) 684-6335.Contact Information
Primary practice address
2301 Erwin Road Cb #102346
Durham NC 27705
Phone: (919) 684-6335
Fax: (919) 668-4859
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Pediatrics | 163WP0200X | RN637152 | Pennsylvania |
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | SP013365 | Pennsylvania |
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 5008859 | North Carolina |
Profile Details
| NPI number | 1487083192 |
|---|---|
| LBN Legal business name | Dougherty, Jennifer Pothoven |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 3rd, 2013 |
| Last updated | May 9th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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