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Ms. Dominique Chrystel Penn
Licensed Practical Nurse in Stoughton, Massachusetts
NPI 1871172619

Dominique Chrystel Penn is a Licensed Practical Nurse based in Stoughton, MA. Dominique Chrystel Penn practices in Stoughton, MA. The NPI Number for Dominique Chrystel Penn is 1871172619 and holds a License No. LN95762 (Massachusetts).

The current practice location address for Dominique Chrystel Penn is 100 Water St Apt 27, Stoughton, MA and can be reached out via phone at 781-975-4441.

Location: 100 Water St Apt 27, Stoughton, MA, 02072-2866
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871172619
Provider Name
Dominique Chrystel Penn
Credential
Provider Entity Type
Individual
Gender
Female
Address
100 Water St Apt 27, Stoughton, MA, 02072-2866
Phone Number
781-975-4441
Fax Number
Provider Enumeration Date
04/07/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NO 01 NO
NA 01 NA
institution
Provider Business Practice Location Address Details
Address
100 Water St Apt 27
City
Stoughton
State
Massachusetts
Zip
02072-2866
Phone Number
781-975-4441
Fax Number
person
Provider Business Mailing Address Details
Address
100 Water St Apt 27
City
Stoughton
State
Massachusetts
Zip
02072-2866
Phone Number
781-975-4441
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
LN95762 (Massachusetts)
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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