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JENNIFER LYNN DOUGHTY LPN

>> Licensed Practical Nurse >> Nursing Service Providers

Registrant NPI Number: 1629430236

Individual Registrant:
 JENNIFER LYNN DOUGHTY LPN
Gender: F
Not Sole Proprietor

Location and contact information for practice:
69222 TIPTON AVENUE  ANCHOR POINT, AK 99556 US
Tel: 907-756-3226  Fax: --

Contact information for business:
PO BOX 2090  HOMER, AK 99603-2090 US
Tel: 907-756-3226  Fax: --

Registration Information:
NPI: 1629430236
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y164W00000XNursing Service Providers
Licensed Practical Nurse
AKNURP6778

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS AK - Page 1



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