Crystal Sue Dougherty, RN

Registered Nurse · Clarksville, TN

Individual Active NPI

NPI number 1356813265

Practice location

330 Pageant Ln
Clarksville, TN 37040-3854
Phone
(931) 648-5747

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NPI record

NPI
1356813265
Entity type
Individual (Type 1)
Enumeration date
December 18, 2018
Last updated
December 18, 2018
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Registered Nurse Primary 163W00000X 0000228136 TN

Mailing address

144 Sycamore Hill Dr
Clarksville, TN 37042-1779
Phone
(714) 732-9787

About Crystal Dougherty

Crystal Sue Dougherty, RN is a healthcare provider registered in the NPI registry with the primary taxonomy Registered Nurse (code 163W00000X). The practice location is 330 Pageant Ln, Clarksville, TN 37040-3854. The NPI number 1356813265 was assigned on December 18, 2018 and the record was last updated on December 18, 2018.

Crystal Dougherty lists a license in the registry: #0000228136 (TN) for Registered Nurse. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Crystal Sue Dougherty, RN?

The NPI number is 1356813265.

What is the phone number of Crystal Dougherty?

The phone number listed for the practice location is (931) 648-5747.

Where is Crystal Dougherty located?

330 Pageant Ln, Clarksville, TN 37040-3854.

What is the taxonomy code for Crystal Dougherty?

The primary taxonomy code is 163W00000X – Registered Nurse.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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