Individual
RHIANNON RAE DOHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
14540 OLD SAINT AUGUSTINE RD STE 2591, JACKSONVILLE, FL 32258-7420
(904) 376-3800
(904) 390-7405
Mailing address
PO BOX 748519, ATLANTA, GA 30374-8519
(904) 376-3800
(904) 376-3998
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN2272696
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
068639-23
NH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
6735
CT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP10802
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11029725
FL
Other
Enumeration date
01/22/2013
Last updated
01/20/2026
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