person
Dominique Jaquetta Nicole Buckner
Licensed Practical Nurse in Jackson, Mississippi
NPI 1508504515

Dominique Jaquetta Nicole Buckner is a Licensed Practical Nurse based in Jackson, MS. Dominique Jaquetta Nicole Buckner practices in Jackson, MS. The NPI Number for Dominique Jaquetta Nicole Buckner is 1508504515 and holds a License No. 337392 (Mississippi).

The current practice location address for Dominique Jaquetta Nicole Buckner is 655 Meadowbrook Rd, Jackson, MS and can be reached out via phone at 601-882-4878.

Location: 655 Meadowbrook Rd, Jackson, MS, 39206-5842
person
Provider Profile Details
NPI Number
1508504515
Provider Name
Dominique Jaquetta Nicole Buckner
Credential
Provider Entity Type
Individual
Gender
Female
Address
655 Meadowbrook Rd, Jackson, MS, 39206-5842
Phone Number
601-882-4878
Fax Number
Provider Enumeration Date
05/20/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
655 Meadowbrook Rd
City
State
Zip
39206-5842
Phone Number
601-882-4878
Fax Number
person
Provider Business Mailing Address Details
Address
655 Meadowbrook Rd
City
State
Zip
39206-5842
Phone Number
601-882-4878
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
License No.
337392 (Mississippi)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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