Dougherty, Phyllis

Dougherty, Phyllis is an individual health care provider with primary practice located at 1100 Clearwater Largo Rd N , Largo FL 33770-4131. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Dougherty, Phyllis can be contacted via phone (727) 518-6444.

Contact Information

Primary practice address
1100 Clearwater Largo Rd N Largo FL 33770-4131
Phone: (727) 518-6444
Fax: (727) 581-2678
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP2106712 Florida
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X ARNP2106712 Florida

Profile Details

NPI number 1275711780
LBN Legal business name Dougherty, Phyllis
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2008
Last updated Jun 12th, 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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