Doctor Name: | JOY LYNN DOUGHERTY |
NPI Number: | 1336427277 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP |
License Number: | SP011507 |
Business Practice Address: | 1925 Route 51 Jefferson Hills, PA - 150253681 |
Business Phone Number: | 4123849030 |
Business Fax Number: | |
Mailing Address: | 4890 E Willock Rd, PITTSBURGH |
State: | PA |
Postal Code: | 152271449 |
Phone Number: | 4128928203 |
Fax Number: | |
NPI Enumeration Date: | 07/26/2011 |
NPI Last Update Date: | 07/26/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | SP011507 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |