Individual provider · Type 1 NPI

Dominique Sherburne

Family Nurse Practitioner · Brockton, MA

NPI number 1720954530 Active

Practice location

940 Belmont St
Brockton, MA 02301-5596

Call (774) 826-3581 Map

Mailing address

286 Old Center St
Middleboro, MA 02346-1071

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	RN10002511 (MA)

Family Nurse Practitioner: Definition to come...

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About NPI 1720954530

Dominique Sherburne's National Provider Identifier is 1720954530, issued on Oct 17, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Brockton, MA. The record was last updated on Oct 17, 2025.