Healthcare Provider Details

I. General information

NPI: 1760487821
Provider Name (Legal Business Name): DEBORAH J DOUGHERTY NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2005
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6720 PATTERSON AVE STE A
RICHMOND VA
23226-3434
US

IV. Provider business mailing address

827 ARLINGTON CIR
RICHMOND VA
23229-6507
US

V. Phone/Fax

Practice location:
  • Phone: 804-282-3387
  • Fax: 804-282-1724
Mailing address:
  • Phone: 585-315-6441
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024161038
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: