Individual
JENNIFER LYNN DOUGHTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
69222 TIPTON AVENUE, ANCHOR POINT, AK 99556
(907) 756-3226
Mailing address
PO BOX 2090, HOMER, AK 99603-2090
(907) 756-3226
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
NURP6778
AK
Other
Enumeration date
03/23/2016
Last updated
03/23/2016
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