Individual provider · Type 1 NPI
Kimberly Irby Dominique, FNP
Family Nurse Practitioner · Pascagoula, MS
NPI number
1902496524
Active
Practice location
4310 Chicot St
Pascagoula, MS 39581-4700
Fax (228) 205-4964
Mailing address
3709 Oak Ave
Gulfport, MS 39507-3108
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 904287 (MS) |
Family Nurse Practitioner: Definition to come...
2 other providers at this address
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- John C. Elkins, CRNPFamily Nurse Practitioner Pascagoula, MS NPI 1003122821
- Gina Marie Guillotte, NPFamily Nurse Practitioner Pascagoula, MS NPI 1063163012
- Andrikia Chanese Williams, NPFamily Nurse Practitioner Pascagoula, MS NPI 1114890654
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- Renay Danielle Ely Hinkle, FNP-CFamily Nurse Practitioner Pascagoula, MS NPI 1205296704
- Angela N. Jones, CFNPFamily Nurse Practitioner Pascagoula, MS NPI 1205560059
About NPI 1902496524
Kimberly Irby Dominique, FNP's National Provider Identifier is 1902496524, issued on Jan 19, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Pascagoula, MS. The record was last updated on Jan 19, 2021.