Kathleen Dougherty, - Registered Nurse in Jacksonville Beach, FL

Kathleen Dougherty, is a Registered Nurse - Addiction (substance Use Disorder) based in Jacksonville Beach, Florida. Kathleen Dougherty is licensed to practice in Florida (license number RN9183201) and her current practice location is 1597 The Greens Way, Jacksonville Beach, Florida. She can be reached at her office (for appointments etc.) via phone at (904) 425-9648.

NPI number for Kathleen Dougherty is 1508511080 and her current mailing address is 10532 Lantana Lakes Dr N, Jacksonville, Florida. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1508511080.

Contact Information

Kathleen Dougherty,
1597 The Greens Way,
Jacksonville Beach, FL 32250-1401
(904) 425-9648
Not Available

Map and Direction




Provider's Profile

Full NameKathleen Dougherty
GenderFemale
SpecialityRegistered Nurse - Addiction (substance Use Disorder)
Location1597 The Greens Way, Jacksonville Beach, Florida
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1508511080
  • Provider Enumeration Date: 02/14/2022
  • Last Update Date: 02/14/2022

Medical Identifiers

Medical identifiers for Kathleen Dougherty such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508511080NPI-NPPES
1568985406OtherFLINSURANCE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WA0400XRegistered Nurse - Addiction (substance Use Disorder) RN9183201 (Florida)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kathleen Dougherty is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kathleen Dougherty,
10532 Lantana Lakes Dr N,
Jacksonville, FL 32246-4633

Ph: (904) 425-9648
Kathleen Dougherty,
1597 The Greens Way,
Jacksonville Beach, FL 32250-1401

Ph: (904) 425-9648

Reviews and Comments


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