Jacqueline D Dominick, CRNP
Nurse Practitioner, Acute Care in Glen Burnie, MD. Individual provider (NPI-1).
NPI number1366424921
StatusActive
Last updated in NPPESDec 3, 2007
Details
- NPI
- 1366424921
- Entity type
- Individual (NPI-1)
- Name
- Jacqueline D Dominick
- Credential
- CRNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 18, 2005
- Last updated
- Dec 3, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2100X | Nurse Practitioner, Acute Care | R097460 | MD | Yes |
Practice location
301 Hospital DrGlen Burnie, MD 21061-5803
Phone 410-787-4000
Mailing address
300 Hospital DrSuite 215
Glen Burnie, MD 21061-6902
Phone 410-787-4000 · Fax 410-787-4846
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All 24 Acute Care Nurse Practitioner providers in Glen Burnie · All 2,953 providers in Glen Burnie
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