Active NPIIndividual provider

Dominique Sherburne

Nurse Practitioner, Family in Brockton, Massachusetts

NPI Number1720954530
Practice location
940 Belmont St, Brockton, MA 02301-5596
Fax
—
Last updated
October 17, 2025

Dominique Sherburne is a Nurse Practitioner, Family based in Brockton, MA. Dominique Sherburne practices in Brockton, MA. The NPI Number for Dominique Sherburne is 1720954530 and holds a License No. RN10002511 (MA). The current practice location address for Dominique Sherburne is 940 Belmont St, Brockton, MA 02301-5596 and can be reached out via phone at 774-826-3581.

Provider Profile Details

NPI Number
1720954530
Provider Name
Dominique Sherburne
Provider Entity Type
Individual
Gender
Female
Address
940 Belmont St, Brockton, MA 02301-5596
Phone Number
774-826-3581
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
October 17, 2025
Last Update Date
October 17, 2025
Certification Date
October 17, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
940 Belmont St
Brockton, MA 02301-5596
Zip
02301-5596
Phone Number
774-826-3581
Brockton, MA 02301Get directions →

Provider Business Mailing Address Details

Address
286 Old Center St
Middleboro, MA 02346-1071
City
Middleboro
State
MA
Zip
02346-1071
Phone Number
774-826-3581

License Information

License Number
RN10002511
License State
MA
Taxonomy
Nurse Practitioner, Family · 363LF0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dominique Sherburne?

The NPI number of Dominique Sherburne is 1720954530. It was assigned on October 17, 2025 and is currently active in the NPPES registry.

What is the specialty of Dominique Sherburne?

Dominique Sherburne is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in MA under license number RN10002511.

Where does Dominique Sherburne practice?

The practice location is 940 Belmont St, Brockton, MA 02301-5596. The office can be reached at 774-826-3581 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1720954530 directly on the NPPES registry website.

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