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Jacob Domoracki, CRNP
Acute Care Nurse Practitioner in Erie, Pennsylvania
NPI 1245919448

Jacob Domoracki is an Acute Care Nurse Practitioner based in Conneaut, PA and is specialized in Acute Care. Jacob Domoracki practices in Erie, PA and has the professional credentials of CRNP. The NPI Number for Jacob Domoracki is 1245919448 and holds a License No. RN670780 (Pennsylvania).

The current practice location address for Jacob Domoracki is 232 W 25Th St, Erie, PA and can be reached out via phone at 814-452-5000.

Location: 232 W 25Th St, Erie, PA, 44030-1710
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Provider Profile Details
NPI Number
1245919448
Provider Name
Jacob Domoracki
Credential
CRNP
Provider Entity Type
Individual
Gender
Male
Address
232 W 25Th St, Erie, PA, 44030-1710
Phone Number
814-452-5000
Fax Number
Provider Enumeration Date
07/14/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
RN670780 01 PA REGISTERED NURSE LICENSE
SP028313 01 PA CERTIFIED REGISTERED NURSE PRACTITIONER - ADULT-GERONTOLOGY ACUTE CARE
institution
Provider Business Practice Location Address Details
Address
232 W 25Th St
City
State
Zip
16544-0001
Phone Number
814-452-5000
Fax Number
person
Provider Business Mailing Address Details
Address
232 W 25Th St
City
State
Zip
16544-0001
Phone Number
814-452-5000
Fax Number
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Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Critical Care Medicine
Taxonomy
License No.
SP028313 (Pennsylvania)
Definition
Definition to come...
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Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
License No.
RN670780 (Pennsylvania)
Definition
Definition to come...
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