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Search › Florida › Addiction (Substance Use Disorder) Registered Nurse

Kathleen Dougherty

NPI 1508511080 · on the registry since 2022 · sole proprietor

Practice

Address
1597 The Greens Way
Jacksonville Beach, FL 32250
Phone
(904) 425-9648
Organisation at this address
Tides Edge Recovery Services, Llc
Tides Edge Recovery Services, Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
Addiction (Substance Use Disorder) Registered Nurse
163WA0400X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-02-14
Status
Not present in the most recent federal file

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida