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Jacob Dougherty, AGACNP-BC

NPI 1821712316 · on the registry since 2022 · sole proprietor

Practice

Address: 2400 Miami Valley Dr
Centerville, OH 45459
Phone: (937) 438-2400
Organisation at this address: Patrick Mezu Md Llc
Edgar Santillan Md Llc
Fidelity Health Care Inc
Anesthesiology Services Network
Dayton Cardiology Consultants Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 48

Additional practice sites

3095 Dayton Xenia Rd Ste 900, Dayton, OH

Registry record

Primary taxonomy: Gerontology Nurse Practitioner
363LG0600X
Licence states on file: OH
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2026-03-11

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 Ohio