Individual provider · Type 1 NPI

Jessica Marie Domire, APRN

Nurse Practitioner · Malta, MT

NPI number 1790293116 Active

Practice location

140 S Central Ave
Malta, MT 59538

Mailing address

PO Box 581
Malta, MT 59538-0581

Other practice locations

  • 830 S Central Ave, Malta, MT 59538 · (406) 654-1953

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000XNUR-APRN-LIC-146098 (MT)
Nurse Practitioner Primary 363L00000XNUR-APRN-LIC-146098 (MT)

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 1790293116

Jessica Marie Domire, APRN's National Provider Identifier is 1790293116, issued on Jan 19, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Malta, MT. The record was last updated on Mar 17, 2022.