Individual
MS. JONNA L. DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
4401 WORNALL RD, ST. LUKE'S HOSPITAL, KANSAS CITY, MO 64111-3220
(816) 932-5626
(816) 932-6139
Mailing address
11613 OAKMONT ST, OVERLAND PARK, KS 66210-1334
(913) 451-3646
(913) 451-1166
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
139986
MO
363LN0000X
Neonatal Nurse Practitioner
45393
KS
Other
Enumeration date
10/23/2006
Last updated
07/08/2007
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