Buckner, Dominique Jaquetta Nicole

Buckner, Dominique Jaquetta Nicole is an individual health care provider with primary practice located at 655 Meadowbrook Rd , Jackson MS 39206-5842. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Buckner, Dominique Jaquetta Nicole can be contacted via phone (601) 882-4878.

Contact Information

Primary practice address
655 Meadowbrook Rd Jackson MS 39206-5842
Phone: (601) 882-4878
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 337392 Mississippi

Profile Details

NPI number 1508504515
LBN Legal business name Buckner, Dominique Jaquetta Nicole
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2022
Last updated Mar 20th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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