Individual
JENNA LYNN DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
5094 MILLER TRUNK HWY STE 300, HERMANTOWN, MN 55811-1637
(218) 729-7077
Mailing address
5094 MILLER TRUNK HWY STE 300, HERMANTOWN, MN 55811-1637
(218) 729-7077
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
7081
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1992193825
NPPES
MN
Enumeration date
03/07/2023
Last updated
03/07/2023
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