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JENNIFER LYNN DOUGHTY LPN
>> Licensed Practical Nurse >> Nursing Service ProvidersRegistrant NPI Number: 1629430236
Individual Registrant: JENNIFER LYNN DOUGHTY LPN
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
69222 TIPTON AVENUE ANCHOR POINT, AK 99556 US
Tel: 907-756-3226 Fax: --
Tel: 907-756-3226 Fax: --
Contact information for business:
PO BOX 2090 HOMER, AK 99603-2090 US
Tel: 907-756-3226 Fax: --
Tel: 907-756-3226 Fax: --
Registration Information:
NPI: 1629430236
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 164W00000X | Nursing Service Providers Licensed Practical Nurse | AK | NURP6778 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
