Individual provider · Type 1 NPI

Dominique Jacqueline McIntosh, FNP

Family Nurse Practitioner · Peachtree Corners, GA

NPI number 1689198798 Active

Practice location

3720 Holcomb Bridge Rd
Peachtree Corners, GA 30092-4795

Mailing address

6829 Danforth Way
Stone Mountain, GA 30087-6370

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XRN195908 (GA)

Family Nurse Practitioner: Definition to come...

5 other providers at this address

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About NPI 1689198798

Dominique Jacqueline McIntosh, FNP's National Provider Identifier is 1689198798, issued on Jul 31, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Peachtree Corners, GA. The record was last updated on Jul 31, 2017.