Individual provider · Type 1 NPI

Madison Elizabeth Dedominicis, RN

Registered Nurse · Jasper, GA

NPI number 1316851025 Active

Practice location

1266 GA-515 South
Jasper, GA 30143

Mailing address

220 Rivulet Dr
Canton, GA 30115-8195

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000XRN299340 (GA)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1316851025

Madison Elizabeth Dedominicis, RN's National Provider Identifier is 1316851025, issued on Sep 30, 2026. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Jasper, GA. The record was last updated on Sep 30, 2026.