Individual
JEANELLA DAUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
200 CLINIC DR, MADISONVILLE, KY 42431-1661
(270) 921-8874
Mailing address
PO BOX 614, HOPKINSVILLE, KY 42241-0614
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4002285
KY
Other
Enumeration date
03/03/2026
Last updated
03/03/2026
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