Individual
TERRY LYNN DOHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
55 FRUIT ST # 1500, BOSTON, MA 02114-2621
(617) 726-3874
(617) 643-1384
Mailing address
298 LINCOLN ST, DUXBURY, MA 02332-3119
(339) 793-3154
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN161828
MA
363LA2200X
Adult Health Nurse Practitioner
AG07220221
MA
Other
Enumeration date
10/11/2022
Last updated
05/24/2023
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