Individual provider · Type 1 NPI
Jennifer Anne Domville, CNP
Family Nurse Practitioner · Raleigh, NC
NPI number
1033445697
Active
Practice location
2123 Barrington Manor Dr Apt 307
Raleigh, NC 27612-3419
Fax (740) 304-7505
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 5005824 (NC) |
Family Nurse Practitioner: Definition to come...
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About NPI 1033445697
Jennifer Anne Domville, CNP's National Provider Identifier is 1033445697, issued on Nov 2, 2009. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Raleigh, NC. The record was last updated on Jul 31, 2025.