Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kathleen Dougherty

Individual provider Addiction (Substance Use Disorder) Registered Nurse · NPI 1508511080

Kathleen Dougherty is an Addiction (Substance Use Disorder) Registered Nurse in Jacksonville Beach, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2022

Practice location Address checks out

1597 The Greens Way
Jacksonville Beach, FL 32250-1401
Phone: (904) 425-9648
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Registered Nurse (primary) Taxonomy 163WA0400X · Licence RN9183201 (FL)

Record details

NPI number1508511080
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 14, 2022
Last updated in NPPESFebruary 14, 2022
Certification dateFebruary 14, 2022