Jacob Dougherty

AGACNP-BC | Nurse Practitioner - Gerontology

2400 Miami Valley Dr, Centerville
  Ohio, 45459-4774
937-438-2400
May or may not accept Medicare Nurse Practitioner in Centerville, Ohio.
Jacob Dougherty is a Centerville, Ohio based nurse practitioner who is specialized as Gerontology NP. Active license number of Jacob Dougherty is APRN.CNP.0032076 for Gerontology NP in Ohio. His current practice location is 2400 Miami Valley Dr, Centerville. Patients can reach him at 937-438-2400. Jacob Dougherty is AGACNP-BC with specialization in Gerontology NP and his NPI number (Unique professional ID assigned by NPPES) is 1821712316.
Jacob Dougherty is specially trained to treat the complex physical and mental health needs of older adults. He have the right to administer medications, order and assess diagnostic tests, and design and implement comprehensive treatment plans for his patients.
Adult Gerontology Nurse Practitioner (AGNP) day-to-day responsibilities include helping older patients with daily tasks like eating, bathing, dressing, and walking, administering medications, monitoring vital signs, cooperating with physicians, other advanced nurse practitioners, and registered nurses.
Complete Profile:
Jacob Dougherty speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Jacob Dougherty
Specialization: Nurse Practitioner - Gerontology (AGNP)
Gender:Male
Credentials: AGACNP-BC
Practice Address:2400 Miami Valley Dr, Centerville,
Ohio, 45459-4774
Phone:937-438-2400
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number: 1821712316
NPI Enumeration Date: 28 Sep, 2022
NPI Last Update On: 11 Mar, 2026

Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jacob Dougherty are as mentioned below.
License NumberSpecializationStateStatus
APRN.CNP.0032076Gerontology NP OhioPrimary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Jacob Dougherty
1 Prestige Pl Ste 550,
Miamisburg, Ohio
Zip: 45342-6115
Phone Number: 937-762-1306
Fax Number: 937-522-7017
Patients can reach Jacob Dougherty at 2400 Miami Valley Dr, Centerville, Ohio or can call to book an appointment on 937-438-2400.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 June, 2026.