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Jacqueline D Dominick, CRNP
Acute Care Nurse Practitioner in Glen Burnie, Maryland
NPI 1366424921

Jacqueline D Dominick is an Acute Care Nurse Practitioner based in Glen Burnie, MD and is specialized in Acute Care. Jacqueline D Dominick practices in Glen Burnie, MD and has the professional credentials of CRNP. The NPI Number for Jacqueline D Dominick is 1366424921 and holds a License No. R097460 (Maryland).

The current practice location address for Jacqueline D Dominick is 301 Hospital Dr, Glen Burnie, MD and can be reached out via phone at 410-787-4000.

Location: 301 Hospital Dr, Glen Burnie, MD, 21061-6902
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Provider Profile Details
NPI Number
1366424921
Provider Name
Jacqueline D Dominick
Credential
CRNP
Provider Entity Type
Individual
Gender
Female
Address
301 Hospital Dr, Glen Burnie, MD, 21061-6902
Phone Number
410-787-4000
Fax Number
Provider Enumeration Date
11/18/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4457 01 MD BRAVO/ELDER HEALTH
127573 01 MD JOHNS HOPKINS HEALTH CARE
408588400 05 MD
F591-0020 01 DC CARE FIRST BLUE CROSS
64696401 01 MD CARE FIRST BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
301 Hospital Dr
City
State
Zip
21061-5803
Phone Number
410-787-4000
Fax Number
person
Provider Business Mailing Address Details
Address
301 Hospital Dr
City
State
Zip
21061-5803
Phone Number
410-787-4000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
License No.
R097460 (Maryland)
Definition
Definition to come...
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