Jacob Dougherty, AGACNP-BC
NPI #1821712316 in Centerville, Ohio
Provider Information
- NPI Number
- 1821712316
- Entity Type
- Individual
- Name
- Jacob Dougherty, AGACNP-BC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Acute Care
- Credential
- AGACNP-BC
- Enumeration Date
- Sep 28, 2022
- Last Updated
- Nov 3, 2025
Practice Location
- Address
- 2400 MIAMI VALLEY DR
- City
- Centerville
- State
- Ohio
- ZIP Code
- 45459-4774
- Phone
- (937) 438-2400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Acute Care — Acute Care |
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