Individual provider · Type 1 NPI
Dominique Shunta Sulton
Nursing Care Agency · Jackson, MS
NPI number
1366211138
Active
Practice location
5600 Keele St Apt 1808
Jackson, MS 39206-2047
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nursing Care Agency Primary | 251J00000X | 60561 (MS) |
Nursing Care Agency: A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.
About NPI 1366211138
Dominique Shunta Sulton's National Provider Identifier is 1366211138, issued on Dec 21, 2023. The primary taxonomy on file is Nursing Care Agency (251J00000X), and the practice location is in Jackson, MS. The record was last updated on Dec 21, 2023.