Jennifer Anne Domville, CNP
Nurse Practitioner, Family in Raleigh, NC. Individual provider (NPI-1).
NPI number1033445697
StatusActive
Last updated in NPPESJul 31, 2025
Details
- NPI
- 1033445697
- Entity type
- Individual (NPI-1)
- Name
- Ms. Jennifer Anne Domville
- Credential
- CNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 2, 2009
- Certification date
- Jul 31, 2025
- Last updated
- Jul 31, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 5005824 | NC | Yes |
Practice location
2123 Barrington Manor Dr Apt 307Raleigh, NC 27612-3419
Phone 740-304-7505 · Fax 740-304-7505
Mailing address
2123 Barrington Manor Dr Apt 307Raleigh, NC 27612-3419
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