Individual
CAROLINE AMY DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3208 DEERFIELD DR, LOUISVILLE, TN 37777-3412
(865) 724-8805
Mailing address
3208 DEERFIELD DR, LOUISVILLE, TN 37777-3412
(865) 724-8805
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26135
TN
Other
Enumeration date
07/10/2019
Last updated
07/10/2019
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