JENNIFER POTHOVEN DOUGHERTY NP NPI 1487083192

NPI Information

  • NPI: 1487083192
  • Provider Name: JENNIFER POTHOVEN DOUGHERTY, NP
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2301 ERWIN ROAD
    CB #102346
    DURHAM, NC
    ZIP 27705
  • Phone: (919) 684-6335

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NPI Details

Jennifer Pothoven Dougherty, NP is a pediatrics nurse practitioner in Durham, NC with 13 years of experience. Jennifer Pothoven Dougherty, NP NPI is 1487083192. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2301 ERWIN ROAD
CB #102346
DURHAM, NC
ZIP 27705
Phone: (919) 684-6335
Fax: (919) 668-4859

The NPI 1487083192 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/3/2013 and was last updated on 5/9/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WP0200XRegistered NursePediatricsRN637152PENNSYLVANIANo
2363LP0200XNurse PractitionerPediatricsSP013365PENNSYLVANIANo
3363LP0200XNurse PractitionerPediatrics5008859NORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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