Individual
ALYSSA JEANETTE DAUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1605 S MICHIGAN AVE, CHICAGO, IL 60616-1209
(123) 535-5770
Mailing address
1605 S MICHIGAN AVE, CHICAGO, IL 60616-1209
(210) 393-5185
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209029827
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209029827
ILLINOIS BOARD OF NURSING
IL
01
—
44225
TEXAS STATE BOARD OF NURSING
TX
Enumeration date
08/10/2022
Last updated
08/27/2025
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