| Doctor Name: | MRS. TIFFANY MARIE DOUGHERTY |
| NPI Number: | 1356780910 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP-BC |
| License Number: | RN332952 |
| Business Practice Address: | 1021 Mount De Chantal Rd Wheeling, WV - 260036328 |
| Business Phone Number: | 3042431000 |
| Business Fax Number: | |
| Mailing Address: | 2 Phylmar Dr, WHEELING |
| State: | WV |
| Postal Code: | 260031222 |
| Phone Number: | 3042802568 |
| Fax Number: | |
| NPI Enumeration Date: | 06/17/2013 |
| NPI Last Update Date: | 07/24/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 390200000X |
| License Number: | RN332952 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| Taxonomy Type: | Student, Health Care |
| Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |