Daugherty, Jaclyn Blaire

Daugherty, Jaclyn Blaire is an individual health care provider with primary practice located at 604 Solarex Ct Unit 201 , Frederick MD 21703-8655. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Daugherty, Jaclyn Blaire can be contacted via phone (301) 663-8263.

Contact Information

Primary practice address
604 Solarex Ct Unit 201 Frederick MD 21703-8655
Phone: (301) 663-8263
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X R204851 Maryland

Profile Details

NPI number 1477197424
LBN Legal business name Daugherty, Jaclyn Blaire
Credentials CRNP-PMH
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2019
Last updated Mar 4th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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