Individual provider · Type 1 NPI
Jared Domaguing
Nurse Practitioner · Walnut Creek, CA
Practice location
450 N Wiget Ln
Walnut Creek, CA 94598-2408
Mailing address
57 Ben Lomond
Hercules, CA 94547-3940
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 95027588 (CA) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1609657741
Jared Domaguing's National Provider Identifier is 1609657741, issued on Oct 12, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Walnut Creek, CA. The record was last updated on Oct 12, 2023.