Individual provider · Type 1 NPI

Jacqueline D. Dominick, CRNP

Acute Care Nurse Practitioner · Glen Burnie, MD

NPI number 1366424921 Active

Practice location

301 Hospital Dr
Glen Burnie, MD 21061-5803

Mailing address

300 Hospital Dr, Suite 215
Glen Burnie, MD 21061-6902

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100XR097460 (MD)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1366424921

Jacqueline D. Dominick, CRNP's National Provider Identifier is 1366424921, issued on Nov 18, 2005. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Glen Burnie, MD. The record was last updated on Dec 3, 2007.