Individual
JAMIE DANIELLE DOUGHTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2109 DOCTORS PARK DR, COLUMBUS, IN 47203-2224
(812) 372-2245
(812) 375-2156
Mailing address
2109 DOCTORS PARK DR, COLUMBUS, IN 47203-2224
(812) 372-2245
(812) 375-2156
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
01072315A
IN
363LF0000X
Family Nurse Practitioner
71013271A
IN
Other
Enumeration date
06/27/2022
Last updated
02/23/2024
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